| NPI | 1639486095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER RAE WILKINS Speech Language Pathologist 708-539-4457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.001458) |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |