| NPI | 1861752438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY LEQUANA MATHEWS Speech Pathologist/Owner 773-407-6655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL 146008743) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |