Individual
ANDI MAIRE WARTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA-CCC SLP
Contact information
Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
Mailing address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146016463
IL
235Z00000X
Speech-Language Pathologist
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—
Other
Enumeration date
04/22/2021
Last updated
07/20/2022
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