NPI | 1407251754 |
---|---|
Former Legal Business Name | MELISSA TOLMAN M.S. CCC-CLP |
Entity Type | Organization |
Authorized Contact | MELISSA GROSVENOR Owner/Director 847-345-3384 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: IL 146008523) |
Enumeration Date | 2014-10-29 |
Last Update Date | 2014-10-29 |