Individual
COLLEEN CHORAZYCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
1620 N LA SALLE DR, CHICAGO, IL 60614-6005
(312) 943-3600
Mailing address
1620 N LA SALLE DR, CHICAGO, IL 60614-6005
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103034
—
IL
Enumeration date
03/21/2007
Last updated
07/08/2007
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