NPI | 1235537929 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE TULLETT CHARLEY Owner 224-585-6003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: IL 146-007202) |
Enumeration Date | 2014-12-11 |
Last Update Date | 2014-12-11 |