| NPI | 1275112898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA F LEVIN Speech Language Pathologist/Manager 815-474-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |