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Organization
NORTHERN ILLINOIS UNIVERSITY
Active
Organization
NORTHERN ILLINOIS UNIVERSITY
Active
Parent organization
NORTHERN ILLINOIS UNIVERSITY
Other names
Speech Language Hearing Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN ILLINOIS UNIVERSITY
Authorized official
CARISSA NICOLE CALLAHAN (ASSISTANT TO THE DEAN)
(815) 753-6161
Entity
Organization
Contact information
Practice address
3100 SYCAMORE RD, NIU SPEECH LANGUAGE HEARING CLINIC, DEKALB, IL 60115-9621
(815) 753-1481
(815) 753-1664
Mailing address
3100 SYCAMORE RD, NIU SPEECH LANGUAGE HEARING CLINIC, DEKALB, IL 60115-9621
(815) 753-1481
(815) 753-1664
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/08/2006
Last updated
07/10/2013
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