Individual
MS. BOBETTE T KIESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1048 OGDEN AVE, DOWNERS GROVE, IL 60515-2894
(630) 810-1200
Mailing address
14722 S PENN RD, PLAINFIELD, IL 60544-2828
(815) 690-4586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12070051
IL
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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