Organization
GENTLE GIANT THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAXWEL DOMAN MS CCC-SLP (OWNER/MANAGER)
(708) 369-7169
Entity
Organization
Contact information
Practice address
3126 W WALTON ST UNIT 2, CHICAGO, IL 60622-1288
(708) 369-7169
Mailing address
3126 W WALTON ST UNIT 2, CHICAGO, IL 60622-1288
(708) 369-7169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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