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Organization
NORTHSIDE SPEECH SOLUTIONS P.C.
Active
Organization
NORTHSIDE SPEECH SOLUTIONS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN HULSE (PRESIDENT)
(317) 508-7565
Entity
Organization
Contact information
Practice address
1760 W WRIGHTWOOD AVE, 315, CHICAGO, IL 60614-1945
(317) 508-7565
Mailing address
1760 W WRIGHTWOOD AVE, 315, CHICAGO, IL 60614-1945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
251E00000X
Home Health Agency
146.009511
IL
252Y00000X
Early Intervention Provider Agency
146.009511
IL
Other
Enumeration date
02/16/2010
Last updated
06/23/2010
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