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Organization

SHANA DIAMOND SLP

Active
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Organization

SHANA DIAMOND SLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANA I DIAMOND M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(224) 436-2508
Entity
Organization

Contact information

Practice address
1520 W SAND BAR CT UNIT 1A, ROUND LAKE BEACH, IL 60073-4657
(224) 436-2508
Mailing address
1520 W SAND BAR CT UNIT 1A, ROUND LAKE BEACH, IL 60073-4657
(224) 436-2508

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013335
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146013335
SPEECH-LANGUAGE PATHOLOGIST
IL
Enumeration date
06/26/2017
Last updated
07/21/2022
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