Individual
MRS. ADRIANA E MATOS DESAUTELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, SLP-CF
Contact information
Practice address
10935 S HALSTED ST, CHICAGO, IL 60628-3127
(708) 928-2000
(773) 840-3504
Mailing address
10935 S HALSTED ST, CHICAGO, IL 60628-3127
(708) 928-2000
(773) 840-3504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.002633
IL
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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