| NPI | 1225745664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINA JAIMES Speech Language Pathologist 773-558-6794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |