NPI | 1376655092 |
---|---|
Entity Type | Organization |
Authorized Contact | KUSHALRAJ PUKHRAJ President 815-690-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005049) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |