Organization
AW THERAPY SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNE WICKERT M.S. CCC-SLP (SLP/PRESIDENT)
(773) 330-6220
Entity
Organization
Contact information
Practice address
4717 W PATTERSON AVE, CHICAGO, IL 60641-3613
(773) 330-6220
(773) 439-2374
Mailing address
4717 W PATTERSON AVE, CHICAGO, IL 60641-3613
(773) 330-6220
(773) 439-2374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1275604068
IL
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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