Individual
EMILY RUNNOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-1052
Mailing address
424 W OAKDALE AVE APT 414, CHICAGO, IL 60657-5919
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004728
IL
Other
Enumeration date
10/17/2017
Last updated
01/19/2021
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