Individual
MS. ELLEN IRENE DYBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15420 WALNUT RD, OAK FOREST, IL 60452-1626
(708) 687-7590
Mailing address
15420 WALNUT RD, OAK FOREST, IL 60452-1626
(708) 687-7590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.001840
IL
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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