Individual
COLLEEN FROST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10753 S RIDGEWAY AVE, CHICAGO, IL 60655-3902
(773) 710-6084
Mailing address
10753 S RIDGEWAY AVE, CHICAGO, IL 60655-3902
(773) 710-6084
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014258
IL
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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