| NPI | 1730308164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMIN A FREDERICKFARMER President Speech Language Pathologi 773-330-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006303) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |