Individual
MRS. GENEVIEVE MARIE D'AQUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1366 W FULLERTON AVE, CHICAGO, IL 60614-2129
(772) 248-9300
Mailing address
909 W WASHINGTON BLVD, NO. 712, CHICAGO, IL 60607-2204
(312) 421-1654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009555
IL
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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