Organization
BUILDING BLOCKS THERAPY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNALISE COLE (SPEECH-LANGUAGE PATHOLOGIST)
(331) 248-0251
Entity
Organization
Contact information
Practice address
415 WILLIAMSBURG AVE, (331) 248-0251, GENEVA, IL 60134-1091
(331) 248-0251
Mailing address
1469 COVINGTON CT, SAINT CHARLES, IL 60174-3563
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
242.003691
IL
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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