Individual
CAROLINE E FERGUSON-WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5742 W AINSLIE ST, CHICAGO, IL 60630-2018
(773) 683-2658
Mailing address
5742 W AINSLIE ST, CHICAGO, IL 60630-2018
(773) 683-2658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010391
IL
235Z00000X
Speech-Language Pathologist
RPE 4227
CA
Other
Enumeration date
12/24/2007
Last updated
10/10/2018
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