Individual
MS. BRANDI ERIN SIDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1654 W BERWYN AVE, APT 1WA, CHICAGO, IL 60640-4072
(219) 689-9515
Mailing address
1654 W BERWYN AVE, APT 1WA, CHICAGO, IL 60640
(219) 689-9515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009475
IL
Other
Enumeration date
06/25/2008
Last updated
09/18/2014
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