Individual
CAROLYN BEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
750 INGALTON AVE, WEST CHICAGO, IL 60185-2090
(630) 293-6050
Mailing address
28W720 WAGNER DR, WARRENVILLE, IL 60555-3444
(630) 997-3276
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1802387
IL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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