Organization
EARLY SPROUT PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLYN BONI MA, CCC-SLP (MANAGING MEMBER/SLP)
(224) 595-4220
Entity
Organization
Contact information
Practice address
1600 MINK TRL, CARY, IL 60013-6070
(224) 595-4220
Mailing address
1600 MINK TRL, CARY, IL 60013-6070
(224) 595-4220
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2022
Last updated
09/09/2022
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