| NPI | 1710047964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN RICHTER Office Manager 847-265-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005107) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178003554) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180004644) | |
| 174400000X Specialist (Licence: IL 056006553) | |
| 174400000X Specialist (Licence: IL 056005900) | |
| 174400000X Specialist (Licence: IL 056007775) | |
| 174400000X Specialist (Licence: IL 070002049) | |
| 174400000X Specialist (Licence: IL 070010601) | |
| 174400000X Specialist (Licence: IL 070014701) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IL 242000307) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2010-09-13 |