| NPI | 1962656538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN A. SWEENEY Partner 847-583-9492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech (Licence: IL 146-003351) |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: IL 149.000919) |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |