| NPI | 1922897776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA JORDAN Speech Language Pathologist 773-217-8795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-05-06 |
| Last Update Date | 2025-05-06 |