Individual
MRS. ELLEN DEITELBAUM LUNZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
808 LEYDEN LN, WILMETTE, IL 60091-2159
(847) 256-1720
Mailing address
808 LEYDEN LN, WILMETTE, IL 60091-2159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146002602
IL
Other
Enumeration date
06/25/2007
Last updated
06/19/2009
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