Individual
MRS. COLLEEN MICHELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 WESTBERRY CT, LAKE ZURICH, IL 60047-1400
(847) 726-2476
Mailing address
1050 WESTBERRY CT, LAKE ZURICH, IL 60047-1400
(847) 726-2476
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CG53870702P
IL
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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