Individual
MRS. CATHERINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12700 SACRAMENTO AVE, BLUE ISLAND, IL 60406-1822
(708) 597-6300
Mailing address
10820 S LAWNDALE AVE, CHICAGO, IL 60655-3233
(773) 318-4139
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011716
IL
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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