| NPI | 1255408746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIE GOFORTH Director Of Services/Owner 708-299-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007330) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2009-08-27 |