| NPI | 1437816840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN THOMPSON Speech Language Pathologist 815-685-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-07-01 |