| NPI | 1962158196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYA ODEH Speech Language Pathologist 708-983-3054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-02-25 |