Individual
MRS. DIANE VASILEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/SLP
Contact information
Practice address
9736 S HAMILTON AVE, CHICAGO, IL 60643-1644
(773) 343-8484
(773) 305-0954
Mailing address
9736 S HAMILTON AVE, CHICAGO, IL 60643-1644
(773) 343-8484
(773) 305-0954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005861
IL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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