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Organization
SHANI LANTOS
Active
Organization
SHANI LANTOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOSHANA LANTOS M.A. CCC-SLP (CEO)
(773) 456-0381
Entity
Organization
Contact information
Practice address
2826 W BIRCHWOOD AVE, CHICAGO, IL 60645-1218
(773) 456-0381
Mailing address
2826 W BIRCHWOOD AVE, CHICAGO, IL 60645-1218
(773) 456-0381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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