Individual
MR. JOSEPH ROBERT SIERRA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.H.S., CCC-SLP
Contact information
Practice address
1049 E WILSON ST, #100, BATAVIA, IL 60510-2474
(630) 761-0900
Mailing address
6723 175TH ST, TINLEY PARK, IL 60477-4041
(708) 822-2623
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012203
IL
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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