Individual
BASYA GOLDFEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7358 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1710
(847) 868-6531
Mailing address
7358 N LINCOLN AVE, LINCOLNWOOD, IL 60712-1710
(847) 868-6531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.003151
IL
Other
Enumeration date
06/17/2015
Last updated
08/11/2021
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