| NPI | 1205912615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY WADE MAYO Owner 708-647-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146003736) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |