| NPI | 1740762269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRA L THEODOSOPOULOS Owner/Managing Member 815-257-2660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2021-06-14 |