Individual
JUDITH A CORCORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 123RD PL, BLUE ISLAND, IL 60406-1672
(708) 489-3533
Mailing address
10340 S PROSPECT AVE, CHICAGO, IL 60643-2825
(773) 881-7961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146001853
IL
Other
Enumeration date
12/01/2017
Last updated
12/04/2017
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