| NPI | 1487911970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANNE M HOOLSEMA President 847-702-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: IL 146003795) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2019-07-18 |