| NPI | 1497988521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN NITSCHE Owner 773-615-8296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004836) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |