| NPI | 1508580986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN HERATH Speech Language Pathologist 815-354-7266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-09-29 |
| Last Update Date | 2022-09-29 |