Organization
AUTISM AND CHILDHOOD THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA LYNN CALDERON SLP (OWNER)
(773) 676-5945
Entity
Organization
Contact information
Practice address
11943 PINE AVE, LEMONT, IL 60439-4507
(773) 676-5945
(773) 249-1112
Mailing address
11943 PINE AVE, LEMONT, IL 60439-4507
(773) 676-5945
(773) 249-1112
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012379
IL
Other
Enumeration date
01/26/2015
Last updated
02/11/2022
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