Individual
MISS IVANKA MAGDALYNA NORTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877
(630) 620-4433
Mailing address
14 S GEORGE ST, MOUNT PROSPECT, IL 60056-3426
(847) 830-2513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.007279
IL
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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