| NPI | 1659936094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN NICOLE MILLER Speech Language Pathologist 708-921-2007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |