| NPI | 1902563661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHANN ELIZABETH CARLILE Speech Language Pathologist 312-549-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2025-05-14 |