NPI | 1396904884 |
---|---|
Entity Type | Organization |
Authorized Contact | MONIQUE RICHARDSON Speech/Language Pathologist 773-531-6821 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007299) |
Enumeration Date | 2008-06-09 |
Last Update Date | 2008-06-09 |