| NPI | 1689315061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE R VANDERPLOEG Speech Language Pathologist 815-823-6062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |