Individual
COURTNEY KACHANUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1490 E MYRTLE ST, CANTON, IL 61520-1519
(217) 622-9899
Mailing address
5400 W SIENNA LN APT 3201, PEORIA, IL 61615-7860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012698
IL
Other
Enumeration date
08/06/2017
Last updated
08/06/2017
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