| NPI | 1376089102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M OLSON Owner 708-557-9237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007356) |
| Enumeration Date | 2017-01-18 |
| Last Update Date | 2017-01-18 |