| NPI | 1427695816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIKA NOEMI MATUZIK Speech Language Pathologist 224-628-5823 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |