| NPI | 1497514749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ESCAMILLA Member, Speech Language Pathologist 815-793-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |