Organization
ADVANCEMENT TX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNISE TAYLOR M.S.CCC-SLP/L (SPEECH PATHOLOGIST/OWNER)
(800) 430-8150
Entity
Organization
Contact information
Practice address
122 TOWN CENTER RD, SUITE 201, MATTESON, IL 60443-2251
(708) 748-5700
(800) 430-8150
Mailing address
4710 LINCOLN HWY, SUITE 263, MATTESON, IL 60443-2316
(800) 430-8150
(800) 430-8150
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008715
IL
252Y00000X
Early Intervention Provider Agency
146.008715
IL
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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