| NPI | 1962875872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LARA DUDEK-BRANNAN Speech Language Pathologist 309-212-4862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2015-11-02 |