Individual
AVA RAQUEL LUGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 824-1724
Mailing address
7575 W HORTENSE AVE, CHICAGO, IL 60631-1807
(630) 699-4564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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