NPI | 1982062071 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN BRAZAS Speech Language Patholgoist 630-329-2389 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008697) |
235Z00000X Speech-Language Pathologist, | |
225X00000X Occupational Therapist (Licence: IL 056.009956) | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, (Licence: IL 146.012008) | |
Enumeration Date | 2016-02-03 |
Last Update Date | 2023-09-05 |