Individual
COLLEEN FRANCES WIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2300 N CHILDRENS PLZ, SUITE 701, CHICAGO, IL 60614-3363
(708) 836-8040
(708) 836-8040
Mailing address
549 N DEER RUN DR, PALATINE, IL 60067-8673
(847) 997-1146
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
001880
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665463
—
IA
Enumeration date
08/27/2008
Last updated
09/30/2011
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