Individual
ALISSA GOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
(773) 685-8482
Mailing address
5820 W IRVING PARK RD, CHICAGO, IL 60634-2616
(773) 685-8482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013329
IL
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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