| NPI | 1336626316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA WACKER Owner, Slp, And Lea RN Ing Specialist 773-720-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 146011197) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2021-11-12 |