| NPI | 1548909856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE SHAH Speech Language Pathologist 815-218-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-06-03 |
| Last Update Date | 2022-06-03 |