Individual
CAITLIN ELIZABETH FAUNTLEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1957 W DICKENS AVE, CHICAGO, IL 60614-3934
(773) 698-6535
Mailing address
2236 N MAPLEWOOD AVE, UNIT 2, CHICAGO, IL 60647-3146
(615) 519-1586
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
07/14/2011
Last updated
09/04/2015
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