Individual
ELLEN WYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
(708) 923-5050
Mailing address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1290
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014771
IL
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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