| NPI | 1851381909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LARA MCCARTHY Speech Language Pathologist 773-575-6215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007019) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2020-08-22 |