| NPI | 1962891507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA PADGETT President 708-228-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008904) |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2015-01-20 |