Individual
CALLIE J BIASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S CAN DOTA AVE, MOUNT PROSPECT, IL 60056-3614
(708) 650-8202
Mailing address
500 S CAN DOTA AVE, MOUNT PROSPECT, IL 60056-3614
(708) 650-8202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2318122
IL
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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