Individual
EMILY HALLSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 RACHEL COOPER, NORMAL, IL 61790-0001
(309) 807-5194
Mailing address
517 VALE ST, BLOOMINGTON, IL 61701-5668
(309) 533-3860
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013800
IL
Other
Enumeration date
08/13/2018
Last updated
08/13/2018
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