| NPI | 1477627818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA S. VOSBURGH Speech Language Pathologist 847-253-9470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146000814) |
| Enumeration Date | 2006-11-18 |
| Last Update Date | 2020-08-22 |