Organization
SPEECH TIME
Active
Organization
SPEECH TIME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY RACHAEL GROSS (SPEECH/LANGUAGE PATHOLOGIST)
(847) 420-3721
Entity
Organization
Contact information
Practice address
65 MULBERRY EAST RD, DEERFIELD, IL 60015-5059
(847) 420-3721
(847) 423-6187
Mailing address
65 MULBERRY EAST RD, DEERFIELD, IL 60015-5059
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
146008973
IL
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/21/2017
Last updated
02/21/2017
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