| NPI | 1558716456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE IZQUIERDO President 847-251-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005764) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |