| NPI | 1407079205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN PETERSON Speech Pathologist 773-983-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005279) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2011-05-24 |