Organization
CENTER FOR SPEECH AND LANGUAGE DISORDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY CATHERINE BRADY (OPERATIONS MANAGER)
(630) 530-8551
Entity
Organization
Contact information
Practice address
606 N MICHIGAN ST, ELMHURST, IL 60126-1934
(630) 530-8551
(630) 530-5909
Mailing address
606 N MICHIGAN ST, ELMHURST, IL 60126-1934
(630) 530-8551
(630) 530-5909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2270412
BCBS PROVIDER NUMBER
IL
Enumeration date
01/09/2007
Last updated
07/21/2022
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