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Organization
LOVE INSTITUTE
Active
Organization
LOVE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN LOVE (SPEECH PATHOLOGIST)
(312) 933-0127
Entity
Organization
Contact information
Practice address
17070 S PARK AVE, SUITE E, SOUTH HOLLAND, IL 60473-3389
(773) 234-6367
Mailing address
6941 S CRANDON AVE, CHICAGO, IL 60649-1715
(312) 933-0127
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
L14031808
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851459630
—
IL
Enumeration date
02/09/2016
Last updated
04/29/2016
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