Individual
ANNA DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 S MAIN ST STE D, LOMBARD, IL 60148-2692
(847) 284-5155
Mailing address
1446 W THORNDALE AVE APT 3N, CHICAGO, IL 60660-3340
(847) 284-5155
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242007999
IL
Other
Enumeration date
10/31/2024
Last updated
10/31/2024
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