NPI | 1477874386 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY A JUDGE President 815-823-4357 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 146006960) |
Enumeration Date | 2010-06-15 |
Last Update Date | 2010-06-15 |