Individual
ALEXIS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
615 KENWOOD AVE, WEST CHICAGO, IL 60185-3227
(630) 293-6040
Mailing address
312 E FOREST AVE, WEST CHICAGO, IL 60185-3528
(630) 293-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14366136
IL
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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