Individual
DEIDRE ANN PENTEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21000 S FRANKFORT SQUARE RD, SUITE D, FRANKFORT, IL 60423-9386
(815) 469-1500
Mailing address
21000 S FRANKFORT SQUARE RD STE D, FRANKFORT, IL 60423-9386
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004321
IL
Other
Enumeration date
09/20/2017
Last updated
04/21/2022
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