Individual
COLLEEN HENEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1765 N ELSTON AVE, CHICAGO, IL 60642-1501
(773) 980-0300
Mailing address
5921 N MANTON AVE, CHICAGO, IL 60646-5506
(773) 372-5299
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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