Individual
DORA ALEXANDRA PRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3630 W 92ND ST, EVERGREEN PARK, IL 60805-1401
(708) 425-9473
Mailing address
2442 W 108TH ST, CHICAGO, IL 60655-1235
(708) 937-2522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14434292
IL
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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