| NPI | 1457366031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLEYNE K CAWN Director 847-480-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-000051) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-11-09 |