Individual
CHRISTINE JOY MANUEL ANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
165 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1434
(630) 980-8700
Mailing address
165 S BLOOMINGDALE RD, BLOOMINGDALE, IL 60108-1434
(630) 980-8700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004301
IL
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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