Organization
HOOLSEMA THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANNE M HOOLSEMA PHD, CCC-SLP (PRESIDENT)
(847) 702-7195
Entity
Organization
Contact information
Practice address
6612 MAJESTIC WAY, CARPENTERSVILLE, IL 60110
(847) 702-7195
(847) 836-1068
Mailing address
6612 MAJESTIC WAY, CARPENTERSVILLE, IL 60110
(847) 702-7195
(847) 836-1068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
146003795
IL
Other
Enumeration date
04/20/2012
Last updated
07/18/2019
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