Organization
LAKEVIEW SPEECH AND LANGUAGE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TRUMBELL MA, CCC-SLP (OWNER)
(773) 573-7709
Entity
Organization
Contact information
Practice address
822 N CUYLER AVE, OAK PARK, IL 60302-1408
(773) 573-7709
Mailing address
822 N CUYLER AVE, OAK PARK, IL 60302-1408
(773) 573-7709
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
56009800
IL
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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