| NPI | 1871809285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIE CARLSON Insurance Manager 847-843-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: IL 147-000978) |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2014-04-02 |