| NPI | 1972007029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINA POLEK Secretary 224-659-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146012970) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |