| NPI | 1982163564 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ATOR DINKHA Speech Language Pathologist 773-827-4495 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2019-03-13 | 
| Last Update Date | 2019-04-13 |