Individual
GINA M COSENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
19100 CRESCENT DR, SUITE 101, MOKENA, IL 60448-7510
(708) 478-5400
(708) 478-5300
Mailing address
19100 CRESCENT DR, SUITE 101, MOKENA, IL 60448-7510
(708) 478-5400
(708) 478-5300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.001891
IL
Other
Enumeration date
06/27/2011
Last updated
06/27/2011
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