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Organization
NORTHERN ILLINOIS UNIVERSITY
Active
Organization
NORTHERN ILLINOIS UNIVERSITY
Active
Other names
Speech and Hearing clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA JULIANN SCHAIRER SLP (SPEECH LANGUAGE PATHOLOGIST)
(815) 753-6528
Entity
Organization
Contact information
Practice address
1 LUCINDA AVENUE, NORTHERN ILLINOIS UNIVERSITY, DEKALB, IL 60115
(815) 753-1481
(815) 753-1664
Mailing address
1 LUCINDA AVENUE, NORTHERN ILLINOIS UNIVERSITY, DEKALB, IL 60115
(815) 753-1481
(815) 753-1664
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397581129001
—
IL
Enumeration date
01/17/2007
Last updated
08/22/2020
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