| NPI | 1245122209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR KIMBROUGH Speech Language Pathologist 708-837-8869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-07-16 |