| NPI | 1679460158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER AVILA CEO/Speech Language Pathologist 224-938-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |