Individual
AUTUMN ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2500 W BRADLEY PL STE 109, CHICAGO, IL 60618-4716
(773) 332-9439
(773) 754-8730
Mailing address
2500 W BRADLEY PL STE 109, CHICAGO, IL 60618-4716
(773) 332-9439
(773) 754-8730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012400
IL
235Z00000X
Speech-Language Pathologist
242002858
IL
Other
Enumeration date
08/16/2013
Last updated
05/07/2020
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