| NPI | 1700390580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA KOSTNER-NICHOLSON Owner 847-370-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0001768) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |