| NPI | 1730357211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE OLSON Owner 708-478-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007356) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2012-08-31 |