Individual
MRS. CRYSTAL EMMALINE ZGELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP, LSLS
Contact information
Practice address
225 E CHICAGO AVE, BOX 272 LURIE CHILDREN'S HOSPITAL, CHICAGO, IL 60611-2991
(414) 810-6301
Mailing address
225 E CHICAGO AVE, BOX 272 LURIE CHILDREN'S HOSPITAL, CHICAGO, IL 60611-2991
(414) 810-6301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011207
IL
235Z00000X
Speech-Language Pathologist
3115154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42593500
—
WI
Enumeration date
08/14/2008
Last updated
11/04/2014
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