| NPI | 1487421095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA BOSWORTH Speech Language Pathologist 312-208-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |