Individual
MS. GAYLE L KAMBEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-2881
(773) 282-7000
Mailing address
5645 W ADDISON ST, CHICAGO, IL 60634-2881
(773) 282-7000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006495
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12040584
ASHA NUMBER
MD
Enumeration date
09/12/2022
Last updated
09/12/2022
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