Individual
MRS. GINA E BURLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
185 S MARLEY RD, NEW LENOX, IL 60451-3302
(815) 462-4928
Mailing address
185 S MARLEY RD, NEW LENOX, IL 60451-3302
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012309
IL
Other
Enumeration date
02/06/2017
Last updated
11/15/2018
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