Individual
MRS. IFY C SLOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,SLP,CCC,L
Contact information
Practice address
1104 N. TAYLOR AVE., OAK PARK, IL 60302
(708) 519-0786
(708) 386-6727
Mailing address
1104 N. TAYLOR AVE., OAK PARK, IL 60302
(708) 519-0786
(708) 386-6727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005777
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506088870001
—
IL
Enumeration date
05/08/2007
Last updated
08/14/2008
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