| NPI | 1427240837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY ATIA RAK Owner/President 618-792-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005414) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |