Individual
EMILY IZRAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N RUSSELL AVE, GENESEO, IL 61254-2044
(309) 945-0625
Mailing address
23417 COUNTY HIGHWAY 14, ANNAWAN, IL 61234-9511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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