| NPI | 1386826220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA M DHOM Speech Language Pathologist 847-722-0421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |