# ADVANCED THERAPY & WELLNESS CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Speech Therapy, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336616986
- **Authorized official:** MARGARET STOCH MHS, CCC-SLP (SLP/PRESIDENT)
- **Authorized official phone:** (815) 782-4196

## Contact information

- **Practice address:** 16009 EXECUTIVE DR, CREST HILL, IL 60403-0500
- **Practice address phone:** (815) 782-4196
- **Mailing address:** 16009 EXECUTIVE DR, CREST HILL, IL 60403-0500
- **Mailing address phone:** (815) 782-4196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2018
- **Last updated:** 02/07/2024