NPI | 1336426709 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL JOHN NEARY Owner 312-806-0769 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008947) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: IL 146008947) |
Enumeration Date | 2011-11-13 |
Last Update Date | 2011-11-13 |