| NPI | 1386351096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY WENDLAND Speech Language Pathologist 224-305-3024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2022-11-02 |