| NPI | 1538850748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARY D JOST Speech Language Pathologist 815-922-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2024-01-26 |