| NPI | 1891400941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE MARIE STUEPFERT Owner / Clinical Director 309-310-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2023-01-23 |