Individual
DANIELLE IZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18160 W GAGES LAKE RD, GAGES LAKE, IL 60030-1819
(847) 548-8470
Mailing address
18160 W GAGES LAKE RD, GAGES LAKE, IL 60030-1819
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014455
IL
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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