| NPI | 1962531962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A CRUM Speech Pathologist 773-550-6987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.005733) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |