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Organization
KRISTIN M. PETERSON LTD
Active
Organization
KRISTIN M. PETERSON LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN PETERSON M.S. CCC-SLP (SPEECH PATHOLOGIST)
(773) 983-2118
Entity
Organization
Contact information
Practice address
1733 W IRVING PARK RD, # 321, CHICAGO, IL 60613-2500
(773) 983-2118
Mailing address
1733 W IRVING PARK RD, # 321, CHICAGO, IL 60613-2500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005279
IL
Other
Enumeration date
04/10/2007
Last updated
05/24/2011
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