Organization
FANTASTIC SPEECH & LANGUAGE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE TYBURCZY MS (SPEECH LANGUAGE PATHOLOGIST)
(815) 919-6155
Entity
Organization
Contact information
Practice address
6210 BLACK HILL RIDGE DR, PLAINFIELD, IL 60586-5629
(815) 919-6155
Mailing address
6210 BLACK HILL RIDGE DR, PLAINFIELD, IL 60586-5629
(815) 919-6155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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