Individual
MRS. CHERYL ANN DOEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS,CCC-SLP/L
Contact information
Practice address
10800 LYMAN AVE, CHICAGO RIDGE, IL 60415-2250
(708) 636-2001
Mailing address
10913 S OAK PARK AVE, WORTH, IL 60482-1522
(708) 203-1304
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011304
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146.011304
—
IL
Enumeration date
10/17/2017
Last updated
10/17/2017
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