| NPI | 1871652321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER NIX Speech Language Pathologist 630-499-9619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |