Organization
ADVANCEMENT TX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNISE TAYLOR (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(800) 430-8150
Entity
Organization
Contact information
Practice address
122 TOWN CENTER RD, SUITE 201, MATTESON, IL 60443-2251
(800) 430-8150
Mailing address
4710 LINCOLN HWY STE 263, MATTESON, IL 60443-2316
(800) 430-8150
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
057.003214
IL
Other
Enumeration date
04/06/2010
Last updated
04/06/2010
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