Individual
MRS. BONNIE LYNN DZIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
604 HICKORY AVE, OGLESBY, IL 61348-1192
(815) 883-4269
Mailing address
604 HICKORY AVE, OGLESBY, IL 61348-1192
(815) 883-4269
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008232
IL
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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