| NPI | 1295914109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI R. NGUYEN Speech Language Pathologist 773-817-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146006951) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2007-10-26 |