Individual
MRS. IVONNE MENDOZA VIRGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2100 GREEN BAY RD, NORTH CHICAGO, IL 60064-2838
(630) 297-7588
Mailing address
2100 GREEN BAY RD, NORTH CHICAGO, IL 60064-2838
(630) 297-7588
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/03/2017
Last updated
10/05/2022
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