Individual
CHRISTINE GHAZIMORADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
611 W. PARK ST., ECHO, URBANA, IL 61801-2500
(217) 326-2824
Mailing address
611 W. PARK ST., BWPC, URBANA, IL 61801-2500
(217) 383-6792
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012993
IL
Other
Enumeration date
12/11/2015
Last updated
12/11/2015
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