Individual
GRACE ANN MALONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
924 AUSTIN AVE, PARK RIDGE, IL 60068-2643
(847) 848-5499
Mailing address
924 AUSTIN AVE, PARK RIDGE, IL 60068-2643
(847) 848-5499
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242007610
IL
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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