NPI | 1851517767 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAHEEN THASON President 773-585-8644 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007395) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2020-08-22 |