Individual
DIANA SMITHANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1451 MAGNOLIA DR, CRYSTAL LAKE, IL 60014-1983
(815) 355-4064
Mailing address
1451 MAGNOLIA DR, CRYSTAL LAKE, IL 60014-1983
(815) 355-4064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.005122
IL
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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