Individual
MS. IVALIS ANITA GUAJARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP
Contact information
Practice address
1075 E VICTORY DR, LINDENHURST, IL 60046-7910
(847) 356-4600
Mailing address
1210 S WHITE OAK DR APT 934, WAUKEGAN, IL 60085-8353
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007250
IL
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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