| NPI | 1770414344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FAUQUIER Managing Partner 847-977-9853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2026-05-25 |
| Last Update Date | 2026-09-25 |