Individual
GINA MARIE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
742 S PRAIRIE RD, NEW LENOX, IL 60451-2244
(708) 682-1743
Mailing address
742 S PRAIRIE RD, NEW LENOX, IL 60451-2244
(708) 682-1743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146018323
IL
Other
Enumeration date
05/06/2025
Last updated
05/06/2025
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