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Organization
THE LOOP SPEECH, LANGUAGE, AND LEARNING
Active
Organization
THE LOOP SPEECH, LANGUAGE, AND LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA WACKER SLP.D CCC-SLP (OWNER, SLP, AND LEARNING SPECIALIST)
(773) 720-0646
Entity
Organization
Contact information
Practice address
310 S MICHIGAN AVE UNIT 1308, CHICAGO, IL 60604-4203
(908) 377-8474
Mailing address
310 S MICHIGAN AVE UNIT 1308, CHICAGO, IL 60604-4203
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011197
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14043931
ASHA
—
01
—
146011197
ILLINOIS STATE BOARD OF EDUCATION
IL
Enumeration date
07/23/2018
Last updated
11/12/2021
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