| NPI | 1740906668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY A KAISER Speech Language Pathologist 217-638-0865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2024-08-16 |