Individual
ANGELLA BRICKNER LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
505 S BRAINARD AVE, LA GRANGE, IL 60525-6107
(773) 860-4826
Mailing address
505 S BRAINARD AVE, LA GRANGE, IL 60525-6107
(773) 860-4826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006925
IL
Other
Enumeration date
06/29/2007
Last updated
08/10/2009
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