Organization
SPEAK UP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M VASILEVICH (PRIMARY MEMBER)
(847) 609-0524
Entity
Organization
Contact information
Practice address
6036 N OLYMPIA AVE, CHICAGO, IL 60631-3847
(847) 609-0524
Mailing address
6036 N OLYMPIA AVE, CHICAGO, IL 60631-3847
(847) 609-0524
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
146005861
IL
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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