| NPI | 1316015639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA A. FORSGREN President 815-243-9808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007353) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |