| NPI | 1285246975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA BARON Speech Language Pathologist 224-444-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |