| NPI | 1801671979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ANNE DOHERTY Speech Language Pathologist 630-404-0494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2023-08-28 |