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>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1245641976

Individual Registrant:
Gender: F
Sole Proprietor

Location and contact information for practice:
1308 WAUKEGAN RD  GLENVIEW, IL 60025-3070 US
Tel: 877-486-4140  Fax: --

Contact information for business:
1091 ELM RIDGE DR  GLENCOE, IL 60022-1163 US
Tel: 847-421-5328  Fax: --

Registration Information:
NPI: 1245641976
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist

Legacy codes, insurance codes and state license numbers:



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