| NPI | 1629387758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIE CARLSON Insurance Manager 847-843-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: PA D0096301) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2014-02-13 |