Individual
ELISE ANN PIAGENTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1630 N 20TH AVE, MELROSE PARK, IL 60160-1904
(708) 450-2053
Mailing address
6035 W DAKIN ST, CHICAGO, IL 60634-2519
(773) 504-8303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013406
IL
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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