| NPI | 1871646844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE KAY LANTO Manager 618-779-8269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.006976) |
| Enumeration Date | 2007-01-21 |
| Last Update Date | 2020-08-22 |