| NPI | 1619546140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE MCBREEN Speech Language Pathologist 773-234-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-06-19 |
| Last Update Date | 2021-06-19 |