Individual
ANGELA MARIE LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
24655 S EDWIN DR, CHANNAHON, IL 60410-8616
(815) 600-2077
Mailing address
24655 S EDWIN DR, CHANNAHON, IL 60410-8616
(815) 600-2077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014610
IL
Other
Enumeration date
03/13/2019
Last updated
06/07/2019
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