| NPI | 1225434459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAGAN MARIE JACKIW President 708-828-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011561) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |