Organization
C & C FOUNDATIONS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE SOKOLOWSKI (BILLING PROVIDER)
(630) 301-4161
Entity
Organization
Contact information
Practice address
3175 W FOREST RD, FREEPORT, IL 61032-9200
(815) 739-1452
Mailing address
3175 W FOREST RD, FREEPORT, IL 61032-9200
(815) 739-1452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005808
IL
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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