Individual
AVERY POLIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1927 S 15TH AVE, BROADVIEW, IL 60155-3005
(317) 408-8662
Mailing address
1417 W WAVELAND AVE, CHICAGO, IL 60613-3712
(317) 408-8662
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992820757
—
IL
Enumeration date
08/21/2018
Last updated
08/21/2018
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