| NPI | 1679052013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN M DRUECK Owner 773-587-9178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010551) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2018-08-07 |