| NPI | 1992137285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA LOTZOF Speech Language Pathologist 847-209-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010960) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IL 146011495) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |