Individual
EMILY SUE LEIGVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 W ADAMS ST, CHICAGO, IL 60607-2801
(608) 495-0816
Mailing address
1233 W ADAMS ST, CHICAGO, IL 60607-2801
(608) 495-0816
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
201099
AR
Other
Enumeration date
06/18/2020
Last updated
08/01/2024
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