Individual
CARRIE SHACTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
7000 N MCCORMICK BLVD, LINCOLNWOOD, IL 60712-2726
(847) 686-4739
Mailing address
2917 W JEROME ST, CHICAGO, IL 60645-1232
(773) 642-6134
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009568
IL
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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