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Ivalis Anita Guajardo, MS SLP

Speech-Language Pathologist, in Lindenhurst, IL. Individual provider (NPI-1).

NPI number1003674375
StatusActive
Last updated in NPPESMar 11, 2024

Details

NPI
1003674375
Entity type
Individual (NPI-1)
Name
Ms. Ivalis Anita Guajardo
Credential
MS SLP
Sex
Female
Sole proprietor
No
Enumeration date
Mar 11, 2024
Certification date
Mar 11, 2024
Last updated
Mar 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,242.007250ILYes

Practice location

1075 E Victory Dr
Lindenhurst, IL 60046-7910

Phone 847-356-4600

Mailing address

1210 S White Oak Dr Apt 934
Waukegan, IL 60085-8353

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Other Speech-Language Pathologist providers in Lindenhurst, IL

All 10 Speech-Language Pathologist providers in Lindenhurst · All 205 providers in Lindenhurst

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