Individual
MRS. JOANNA VIVILAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18 N CATHERINE AVE, LA GRANGE, IL 60525-5930
(708) 482-9453
Mailing address
8916 S 55TH AVE, OAK LAWN, IL 60453-1245
(708) 870-2758
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
IL
Other
Enumeration date
01/15/2010
Last updated
01/26/2010
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