Individual
MRS. DEANNE ZOE SUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP L
Contact information
Practice address
1308 WAUKEGAN RD, GLENVIEW, IL 60025-3070
(847) 486-4140
Mailing address
1308 WAUKEGAN RD, GLENVIEW, IL 60025-3070
(847) 486-4140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005042
IL
Other
Enumeration date
04/26/2007
Last updated
04/27/2010
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