| NPI | 1972567485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MARIE O'DONNELL Speech Language Pathologist 708-218-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.007913) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2020-08-22 |