| NPI | 1770173064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN B MCDONOUGH Speech Language Pathologist 773-234-4842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |