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Organization
THE LARYNX INSTITUTE
Active
Organization
THE LARYNX INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY TIEASHA BURKETT MS,CCC-SLP (CLINICAL DIRECTOR)
(773) 750-9865
Entity
Organization
Contact information
Practice address
3402 W LEXINGTON ST, 1ST FLOOR, CHICAGO, IL 60624-4132
(773) 750-9865
Mailing address
3402 W LEXINGTON ST, 1ST FLOOR, CHICAGO, IL 60624-4132
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.00008425
IL
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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