Individual
ALYSSA PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10105 S KARLOV AVE, OAK LAWN, IL 60453-4233
(708) 278-0394
Mailing address
10105 S KARLOV AVE, OAK LAWN, IL 60453-4233
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.005202
IL
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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