| NPI | 1871720268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA TODD FARRIS Owner/Operator 773-960-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 242.001037) |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |