Individual
CAITLIN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
(708) 482-9454
Mailing address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012645
IL
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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