NPI | 1508221771 |
---|---|
Entity Type | Organization |
Authorized Contact | GWENDOLYN EASTERLING President 773-620-4726 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004187) |
Enumeration Date | 2015-12-15 |
Last Update Date | 2015-12-15 |