| NPI | 1942345707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALEXANDER CHIBUCOS President 773-818-3491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006547) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |