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Organization
EMPOWERING LIGHT LANGUAGE INC
Active
Organization
EMPOWERING LIGHT LANGUAGE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRIS RIVAS M.A. (SPEECH LANGUAGE PATHOLOGIST)
(847) 567-4978
Entity
Organization
Contact information
Practice address
1851 W GREENLEAF AVE, #1, CHICAGO, IL 60626-2303
(847) 567-4978
Mailing address
1851 W GREENLEAF AVE, #1, CHICAGO, IL 60626-2303
(847) 567-4978
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
146009236
IL
252Y00000X
Early Intervention Provider Agency
146009236
IL
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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