NPI | 1811004203 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN POPE President 773-792-8442 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005323) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-08-22 |