Individual
ELLIE KIRCHBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9375 W CHURCH ST, DES PLAINES, IL 60016-4271
(847) 824-5165
Mailing address
2207 CRYSTAL CIR, CRYSTAL LAKE, IL 60012-2209
(815) 575-4048
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242007411
IL
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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