NPI | 1447561881 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN A. CHMELA Owner/Director 847-293-2571 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146003373) |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: IL 146003373) |
Enumeration Date | 2010-06-30 |
Last Update Date | 2010-06-30 |