Individual
MS. JOSEPHINE LIZZETE AYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4429 N LAWNDALE AVE APT 3, CHICAGO, IL 60625-7120
(773) 791-6643
Mailing address
4429 N LAWNDALE AVE APT 3, CHICAGO, IL 60625-7120
(773) 791-6643
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.016589
IL
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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