NPI | 1760860589 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH NIELSEN CEO/Speech Language Pathologist 815-508-8327 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: IL 146011731) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2015-05-13 |