| 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 |