Individual
CHANTAL FARAG HANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2217 WASHINGTON ST, WAUKEGAN, IL 60085-5060
(847) 244-4100
Mailing address
2217 WASHINGTON ST, WAUKEGAN, IL 60085-5060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242007545
IL
Other
Enumeration date
09/02/2024
Last updated
12/25/2024
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