| NPI | 1437423878 |
|---|---|
| Doing Business As | CORE SPEECH PATHOLOGY SERVICES |
| Entity Type | Organization |
| Authorized Contact | CARMEN S JORDAN Owner 815-978-5181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.007060) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: IL CJ05640701P) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |