NPI | 1750562625 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA M. JOHNSON President 630-305-0593 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146001180) |
Enumeration Date | 2007-11-20 |
Last Update Date | 2007-11-20 |