Individual
CAROLINE KONSTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1144 LAKE STREET #200B, OAK PARK, IL 60301
Mailing address
1113 HOLLY CT APT 311, OAK PARK, IL 60301
(708) 710-8076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242007169
IL
Other
Enumeration date
07/13/2024
Last updated
07/13/2024
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