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Park Ridge Speech Therapy LLC

Speech-Language Pathologist, in Park Ridge, IL. Organization (NPI-2).

NPI number1841069796
StatusActive
Last updated in NPPESDec 20, 2023

Details

NPI
1841069796
Entity type
Organization (NPI-2)
Legal business name
Park Ridge Speech Therapy LLC
Organization subpart
No
Enumeration date
Dec 20, 2023
Certification date
Dec 20, 2023
Last updated
Dec 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

206 N Merrill St
Park Ridge, IL 60068-3526

Phone 847-840-0139

Mailing address

206 N Merrill St
Park Ridge, IL 60068-3526

Phone 847-840-0139

Authorized official

Olivia M Hallagan
Speech-Language Pathologist
8478400139

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