NPI | 1992301865 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA M GROENENDYK Speech Language Pathologist 708-473-6120 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2020-12-07 |
Last Update Date | 2020-12-07 |