NPI | 1962655241 |
---|---|
Entity Type | Organization |
Authorized Contact | DON GATZA President 224-900-0263 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009222) |
Enumeration Date | 2008-10-30 |
Last Update Date | 2018-09-26 |