Organization
DISCO TECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE WILLIS M.S., CCC-SLP (OWNER/FOUNDER)
(262) 623-7337
Entity
Organization
Contact information
Practice address
2536 N SAWYER AVE APT 207, CHICAGO, IL 60647-6592
(262) 623-7337
Mailing address
2536 N SAWYER AVE APT 207, CHICAGO, IL 60647-6592
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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