Individual
MS. EBONI D KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
8639 S. WINCHESTER AVE, CHICAGO, IL 60620-6012
(773) 771-4110
(773) 233-2730
Mailing address
8639 S WINCHESTER AVE, CHICAGO, IL 60620-6012
(773) 771-4110
(773) 233-2730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242001235
IL
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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