Individual
MS. BETHANY JANE LUCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1653 W CONGRESS PKWY, 203 SENN, CHICAGO, IL 60612-3833
(312) 942-1319
(312) 942-3294
Mailing address
1653 W CONGRESS PKWY, 203 SENN, CHICAGO, IL 60612-3833
(312) 942-1319
(312) 942-3294
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008756
IL
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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