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Organization

NORTHERN ILLINOIS UNIVERSITY

Active
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Organization

NORTHERN ILLINOIS UNIVERSITY

Active
Other names
Speech Language Hearing Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHIRLEY RICHMOND EDD (DEAN COLLEGE HEALTH & HUMAN SCIENCE)
(815) 753-6155
Entity
Organization

Contact information

Practice address
3100 SYCAMORE ROAD, NIU SPEECH LANGUAGE HEARING CLINIC, DEKALB, IL 60115-2899
(815) 753-1483
(815) 753-1664
Mailing address
3100 SYCAMORE ROAD, NIU SPEECH LANGUAGE HEARING CLINIC, DEKALB, IL 60115-2899
(815) 753-1481
(815) 753-1664

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—

Other

Enumeration date
05/27/2009
Last updated
05/27/2009
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