| NPI | 1205608551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA MANNING MARTIN Speech Language Pathologist 630-303-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |