| NPI | 1841069796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA M HALLAGAN Speech Language Pathologist 847-840-0139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |