NPI | 1518984244 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE B BLUMBERG President 847-363-5598 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146-007169) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-08-22 |