NPI | 1316373137 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY TRUMBELL Owner, Clinical Director 773-573-7709 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010427) |
Enumeration Date | 2013-09-25 |
Last Update Date | 2014-04-16 |