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Individual

JULIA STASIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CCC-SLP

Contact information

Practice address
7600 CENTRAL AVE, BURBANK, IL 60459-1308
(708) 496-0500
Mailing address
4439 W 53RD ST, CHICAGO, IL 60632-4755
(630) 461-4852

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.017094
IL
235Z00000X
Speech-Language Pathologist
242006688
IL

Other

Enumeration date
05/26/2023
Last updated
01/26/2024
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