Individual
MRS. BONNIE JO FANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
1938 EVERGREEN RD, HOMEWOOD, IL 60430-3353
(708) 991-2742
Mailing address
1938 EVERGREEN RD, HOMEWOOD, IL 60430-3353
(708) 991-2742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.007506
IL
Other
Enumeration date
08/12/2008
Last updated
08/12/2008
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