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Organization
SCHOOL STREET SPEECH, LLC
Active
Organization
SCHOOL STREET SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI R NORDELL MA CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(224) 628-5461
Entity
Organization
Contact information
Practice address
143 SCHOOL ST, LIBERTYVILLE, IL 60048-2026
(224) 628-5461
(844) 965-9865
Mailing address
143 SCHOOL ST, LIBERTYVILLE, IL 60048-2026
(224) 628-5461
(844) 965-9865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011970
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700259439
INDIVIDUAL PROVIDER NPI NUMBER (TYPE 1)
IL
Enumeration date
01/05/2016
Last updated
01/05/2016
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