| NPI | 1326132812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY LEE CIENKUS President 815-546-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006602) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |