| NPI | 1417632373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA MARIE CHEEK Speech Language Pathologist 217-553-7526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |