| NPI | 1508502527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIANNA RIVERA Speech Language Pathologist 773-717-3015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |