| NPI | 1386082980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE RODIEK Director 773-899-1278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 146.010208) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2013-06-06 |