| NPI | 1558718023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MOLONEY Speech Language Pathologist 773-759-2403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 242003723) |
| Enumeration Date | 2016-05-15 |
| Last Update Date | 2016-05-15 |