Individual
CLARE ROHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11053 S MILLARD AVE, CHICAGO, IL 60655-3327
(773) 253-9856
Mailing address
1776 W WINNEMAC AVE APT 304, CHICAGO, IL 60640-2761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146015518
IL
235Z00000X
Speech-Language Pathologist
Primary
242005546
IL
Other
Enumeration date
10/31/2019
Last updated
09/22/2020
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