NPI | 1407237514 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY ELLEN JAFFE Speech Language Pathologist 708-751-2419 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.001564) |
Enumeration Date | 2015-06-15 |
Last Update Date | 2015-06-15 |