| NPI | 1407097058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC RICHARD SLOTH Speech Language Pathologist 847-458-4918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |