| NPI | 1811918063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN WZOREK Owner 618-401-4201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146005516) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |