Individual
MRS. ANN LULL KORPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MST SLPL
Contact information
Practice address
1515 MORGAN TRAIL, MCHENRY, IL 60051-7823
(815) 385-4117
(815) 385-4117
Mailing address
1515 MORGAN TRAIL, MCHENRY, IL 60051-7823
(815) 385-4117
(815) 385-4117
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5632119
BCBS
IL
Enumeration date
09/23/2006
Last updated
07/08/2007
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