| NPI | 1689945578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE MACKOWIAK Speech/Language Pathology Clinical 773-298-3559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IL 146.001000) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |