| NPI | 1992094916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B DURKIN General Manager 773-775-6651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008353) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2021-09-03 |