| NPI | 1538559893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNN CALDERON Owner 773-676-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012379) |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2022-02-11 |