| NPI | 1497304471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DEMES Speech Language Pathologist 773-710-7657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |