Individual
DANA PINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9700 GROSS POINT RD, SKOKIE, IL 60076-1175
(847) 929-3320
Mailing address
9700 GROSS POINT RD, SKOKIE, IL 60076-1175
(847) 929-3320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004343
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242004343
UPIN, MEDICARE, MEDICAID, AND OTHERS
IL
Enumeration date
05/23/2017
Last updated
05/23/2017
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