| NPI | 1962164459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE JANELLE DUBEAU Speech Language Pathologist/Member 630-742-6238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2021-10-12 |