| NPI | 1417092321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN RADER Clinical Manager 312-238-6850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.007692) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |