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Organization
CENTER FOR SPEECH AND LANGUAGE DISORDERS
Active
Organization
CENTER FOR SPEECH AND LANGUAGE DISORDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CATHERINE BRADY (OPERATIONS MANAGER)
(630) 530-8551
Entity
Organization
Contact information
Practice address
606 N MICHIGAN ST, ELMHURST, IL 60126-1934
(630) 530-8551
(630) 530-5909
Mailing address
606 N MICHIGAN ST, ELMHURST, IL 60126-1934
(630) 530-8551
(630) 530-5909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2270412
BCBS PROVIDER NUMBER
IL
Enumeration date
01/09/2007
Last updated
07/21/2022
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