Individual
ALICIA HIZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 E MAIN ST, ST CHARLES, IL 60174-2431
(630) 461-5931
Mailing address
372 MESSENGER CIR, NORTH AURORA, IL 60542-1805
(630) 461-5931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013850
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146013850
—
IL
Enumeration date
05/09/2018
Last updated
05/09/2018
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