is a Speech-language Pathologist in Homer Glen, Illinois. practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for is 1770633976. The last update date is .
's current location address is 14637 Stonehaven Ln, Homer Glen, Illinois. You can contact this provider via phone number 7084664111 and fax number 7086455687. The mailing address for is 14637 Stonehaven Ln, Homer Glen, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 14637 Stonehaven Ln, Homer Glen, Illinois |
| Phone Number | 7084664111 |
| Fax Number | 7086455687 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1770633976 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 14637 Stonehaven Ln |
|---|---|
| City | Homer Glen |
| State | Illinois (IL) |
| Post Code | 604913483 |
| Phone Number | 7084664111 |
| Fax Number | 7086455687 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9928235 | IL | BCBS PROVIDER NUMBER |
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