Individual
HANNAH THERESE SHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 313-1625
Mailing address
1409 W CARROLL AVE, CHICAGO, IL 60607-1105
(312) 733-0883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.017035
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/03/2022
Last updated
06/22/2023
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