| NPI | 1619461191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL EDWARDS President 217-416-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IL 146005622) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |