| NPI | 1841617404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANON OSINSKI Manager 618-281-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: IL 3175) |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |