Individual
MRS. ANNE CHEDISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA., CCC-SLP/L
Contact information
Practice address
812 W DANIEL ST, CHAMPAIGN, IL 61820-5804
(312) 402-5238
Mailing address
812 W DANIEL ST, CHAMPAIGN, IL 61820-5804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011781
IL
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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