| NPI | 1922341213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDWADO PERKIN Owner 773-640-8340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 105956) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |