Individual
ABIGAIL D DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
394 FEDERAL DR, CRYSTAL LAKE, IL 60014-6281
(815) 459-3810
Mailing address
1177 CENTRAL PARK DR UNIT 108, CRYSTAL LAKE, IL 60014-8230
(847) 989-9083
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146016660
IL
235Z00000X
Speech-Language Pathologist
235Z00000X
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60014
COMMERCIAL
IL
Enumeration date
10/06/2022
Last updated
10/06/2022
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