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Organization
LAKEVIEW SPEECH AND LANGUAGE CLINIC, LLC
Active
Organization
LAKEVIEW SPEECH AND LANGUAGE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TRUMBELL MA, CCC-SLP/L (OWNER, CLINICAL DIRECTOR)
(773) 573-7709
Entity
Organization
Contact information
Practice address
550 W SURF ST, #405, CHICAGO, IL 60657-6036
(773) 573-7709
Mailing address
550 W SURF ST, #405, CHICAGO, IL 60657-6036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010427
IL
Other
Enumeration date
09/25/2013
Last updated
04/16/2014
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