Individual
COLLEEN ANTCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP/L
Contact information
Practice address
16W361 S FRONTAGE RD, SUITE 131, BURR RIDGE, IL 60527-5830
(630) 590-5557
Mailing address
16W361 S FRONTAGE RD, SUITE 131, BURR RIDGE, IL 60527-5830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012611
IL
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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