| NPI | 1639606841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIE M CARLSON Corp. Insurance Manager 847-843-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |