Mary Wirka Mantilla, SLP
Speech-Language Pathologist, in Arlington Heights, IL. Individual provider (NPI-1).
NPI number1750472007
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1750472007
- Entity type
- Individual (NPI-1)
- Name
- Mary Wirka Mantilla
- Credential
- SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 146003095 | IL | Yes |
Practice location
3105 N Wilke RdSuite H
Arlington Heights, IL 60004-1495
Phone 847-255-8690 · Fax 847-255-2260
Mailing address
28601 Sky Crest DrMundelein, IL 60060-5307
Phone 847-566-6885
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All 150 Speech-Language Pathologist providers in Arlington Heights · All 3,584 providers in Arlington Heights
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