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 |