Individual
ANGELA ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
14311 PERKINS RD, WOODSTOCK, IL 60098-7368
(312) 965-1620
Mailing address
14311 PERKINS RD, WOODSTOCK, IL 60098-7368
(312) 965-1620
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013252
IL
Other
Enumeration date
11/12/2016
Last updated
11/12/2016
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