Individual
HOLLIS ADA LOUISE THOMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6025 N PAULINA ST, CHICAGO, IL 60660-2307
(773) 732-7559
Mailing address
6025 N PAULINA ST, CHICAGO, IL 60660-2307
(773) 732-7559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.014630
IL
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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