| NPI | 1689742306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LAUREN JACKSON Audiologist 708-478-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: IL 147000696) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-11-21 |