Individual
DIANE F MOREAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1722 N MAPLEWOOD AVE, CHICAGO, IL 60647-5214
(847) 644-2594
Mailing address
1722 N MAPLEWOOD AVE, CHICAGO, IL 60647-5214
(847) 644-2594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146.015619
IL
235Z00000X
Speech-Language Pathologist
Primary
242.005237
IL
Other
Enumeration date
05/06/2019
Last updated
04/22/2025
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