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Individual

BRIANNE TOMKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
2806 83RD ST, WOODRIDGE, IL 60517-4530
(630) 276-3862
Mailing address
129 S WILLIAMS ST, WESTMONT, IL 60559-1943

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014465
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146014465
ILLINOIS DEPARTMENT OF PROFESSIONAL AND FEDERAL REGULATION
IL
Enumeration date
08/20/2021
Last updated
08/20/2021
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