| NPI | 1982392056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MARIA VANSTEDUM Speech Language Pathologist 847-800-9530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2024-05-23 |