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Organization
SPEAKOLOGY, LTD
Active
Organization
SPEAKOLOGY, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE L CAMPBELL (SPEECH LANGUAGE PATHOLOGIST)
(309) 648-1217
Entity
Organization
Contact information
Practice address
29862 WHITE OAK DR, MACKINAW, IL 61755-8979
(309) 648-1217
(309) 359-3234
Mailing address
29862 WHITE OAK DR, MACKINAW, IL 61755-8979
(309) 648-1217
(309) 359-3234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146007832
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
348724545001
—
IL
Enumeration date
07/24/2015
Last updated
09/02/2015
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