Individual
MRS. CHRISTINE E. MIKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC SLP
Contact information
Practice address
1165 S RIDGE RD, LAKE FOREST, IL 60045-3840
(847) 431-3083
(847) 604-9179
Mailing address
1165 S RIDGE RD, LAKE FOREST, IL 60045-3840
(847) 431-3083
(847) 604-9179
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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