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Therese Porod

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

NPI number1184499345
StatusActive
Last updated in NPPESNov 17, 2023

Details

NPI
1184499345
Entity type
Individual (NPI-1)
Name
Therese Porod
Sex
Female
Sole proprietor
No
Enumeration date
Nov 17, 2023
Certification date
Nov 14, 2023
Last updated
Nov 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,146014966ILYes

Practice location

8100 School St
La Grange, IL 60525-5225

Phone 708-246-2859

Mailing address

19 Roslyn Rd
Westmont, IL 60559-1631

Phone 708-203-1293

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