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Organization
DIAMOND PEDIATRIC THERAPY
Active
Organization
DIAMOND PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANA DIAMOND (OWNER/SLP)
(224) 436-2508
Entity
Organization
Contact information
Practice address
109 BLOOMFIELD DR, WOODSTOCK, IL 60098-2312
(224) 436-2508
Mailing address
109 BLOOMFIELD DR, WOODSTOCK, IL 60098-2312
(224) 436-2508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
08/08/2019
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