NPI | 1720343601 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY JEAN BELMONT Speech Language Pathologist 847-830-6421 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146007744) |
Enumeration Date | 2012-07-06 |
Last Update Date | 2015-04-06 |