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Individual

MRS. ITZA DAVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
7000 N MCCORMICK BLVD, LINCOLNWOOD, IL 60712-2726
(847) 673-7166
Mailing address
734 W WAVELAND AVE APT 1N, CHICAGO, IL 60613-4174

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010545
IL

Other

Enumeration date
12/21/2010
Last updated
12/21/2010
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