| NPI | 1962580357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A GATES Owner 815-788-8824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146006427) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |