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Rebecca A Clark, M.S.

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

NPI number1154520344
StatusActive
Last updated in NPPESJul 17, 2007

Details

NPI
1154520344
Entity type
Individual (NPI-1)
Name
Rebecca A Clark
Credential
M.S.
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2007
Last updated
Jul 17, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,242000615ILYes

Practice location

241 Golf Mill Ctr
Suite 201-203
Niles, IL 60714-1224

Phone 847-699-9757 · Fax 847-699-5037

Mailing address

241 Golf Mill Ctr
Suite 201-203
Niles, IL 60714-1224

Phone 847-699-9757 · Fax 847-699-5037

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