| NPI | 1245351642 |
|---|---|
| Former Legal Business Name | GOTTFRED SPEECH ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOHN LYBOLT Owner 847-564-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146003355) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-03-15 |