NPI | 1790230035 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA KOENIGSBERG Owner/Therapist 773-750-7672 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146004108) |
Enumeration Date | 2016-08-16 |
Last Update Date | 2016-08-16 |