Individual
MRS. CAROL RUCH WYLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.C.C./SLP
Contact information
Practice address
901 ILLINI DR, EAST PEORIA, IL 61611-1840
(309) 694-6446
(309) 698-0650
Mailing address
901 ILLINI DR, EAST PEORIA, IL 61611-1840
(309) 694-6446
(309) 698-0650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146003535
IL
Other
Enumeration date
07/08/2008
Last updated
11/03/2009
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