| 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, |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2026-02-26 |