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Organization
SUSAN VORWERK MAT CCC SLP SPEECH & LANGUAGE PATHOLOGY SERVICES PC
Active
Organization
SUSAN VORWERK MAT CCC SLP SPEECH & LANGUAGE PATHOLOGY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN JANE RICHARD VORWERK MAT CCC SLP (PRESIDENT)
(708) 799-7900
Entity
Organization
Contact information
Practice address
3235 VOLLMER RD, SUITE 104, FLOSSMOOR, IL 60422-2013
(708) 799-7900
(708) 799-7977
Mailing address
3235 VOLLMER RD, SUITE 104, FLOSSMOOR, IL 60422-2013
(708) 799-7900
(708) 799-7977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146000355
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01607161
BLUE CROSS BLUE SHIELD OF
IL
Enumeration date
03/20/2007
Last updated
08/26/2011
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