Individual
DIANA SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5341 6TH AVE, COUNTRYSIDE, IL 60525-3615
(708) 203-0864
Mailing address
5341 6TH AVE, COUNTRYSIDE, IL 60525-3615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146015183
IL
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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