Individual
CHRISTINE BRISKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
210 W BLACK ROAD, SHOREWOOD, IL 60404
(815) 577-7314
Mailing address
1207 N LARKIN AVE, JOLIET, IL 60435-3436
(815) 347-8908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012131
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146012131
STATE OF ILLINOIS SPEECH LANGUAGE PATHOLOGIST LICENSE
IL
Enumeration date
10/22/2013
Last updated
12/13/2017
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