Individual
FAYE DIANE CAMPAGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP/L
Contact information
Practice address
233 S KENILWORTH AVE, OAK PARK, IL 60302-3115
(815) 751-8344
Mailing address
233 S KENILWORTH AVE, OAK PARK, IL 60302-3115
(815) 751-8344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008258
IL
235Z00000X
Speech-Language Pathologist
146008258
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635796
BCBS PPO
IL
Enumeration date
10/12/2006
Last updated
03/17/2018
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