| NPI | 1871838243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARIN RICHTER Billing Service 847-769-5316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010889) |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2012-12-11 |