Individual
CHARLOTTE GRACE HERBOLSHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CF-SLP
Contact information
Practice address
310 S MAIN ST STE D, LOMBARD, IL 60148-2692
(630) 652-0200
Mailing address
1000 W 15TH ST UNIT 140, CHICAGO, IL 60608-1447
(847) 313-8655
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242007554
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477602548
—
IL
Enumeration date
08/28/2023
Last updated
08/28/2023
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