| 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 |