NPI | 1427271667 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL ALISON LOUDON Speech Language Patholgoist 815-806-7271 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.006712) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2012-04-19 |