| 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 |