| NPI | 1578336418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIA VON GILLERN Owner/Speech Language Pathologist 847-807-5399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |