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Organization
NORTHWESTERN UNIVERSITY
Active
Organization
NORTHWESTERN UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY KAPLAN (PROGRAM DIRECTOR)
(847) 467-4704
Entity
Organization
Contact information
Practice address
2240 CAMPUS DR, FRANCES SEARLE BLDG, EVANSTON, IL 60208-0895
(847) 491-5012
Mailing address
2240 CAMPUS DR, FRANCES SEARLE BLDG, EVANSTON, IL 60208-0895
(847) 491-5012
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005041
IL
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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