NPI | 1427642446 |
---|---|
Entity Type | Organization |
Authorized Contact | BASIE GOLDFEDER Clinical Director 847-868-6531 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2021-02-22 |
Last Update Date | 2021-04-29 |