Individual
CAMILLE PONCE KASPRZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 DEMPSTER ST, PARK RIDGE, IL 60068-1110
(847) 723-4532
(847) 723-4540
Mailing address
160 ORCHARD PASS, BARTLETT, IL 60103
(847) 409-0366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242003037
IL
Other
Enumeration date
10/24/2014
Last updated
05/25/2022
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