| NPI | 1902687627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA PICKMAN Speech Language Pathologist 847-508-6135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-10 |