| NPI | 1467806380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ELIZABETH LOCKART Speech Language Pathologist 217-273-8891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146011785) |
| Enumeration Date | 2016-04-17 |
| Last Update Date | 2016-04-17 |