Organization
INTERACTIVE SPEECH ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE IZQUIERDO M.A. (PRESIDENT)
(847) 251-6190
Entity
Organization
Contact information
Practice address
1131 CENTRAL AVE, SUITE 9, WILMETTE, IL 60091-2600
(847) 251-6190
(847) 251-6085
Mailing address
1131 CENTRAL AVE, SUITE 9, WILMETTE, IL 60091-2600
(847) 251-6190
(847) 251-6085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005764
IL
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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