| NPI | 1982894796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN GLYNN RUSSO Speech Language Pathologist/Owner 708-601-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008152) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2007-07-27 |