| NPI | 1801786215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SULLIVAN Speech Language Pathologist 630-805-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |