Individual
MISS HEIDI MARIE HAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CF-SLP
Contact information
Practice address
5757 105TH ST, CHICAGO RIDGE, IL 60415-2087
(708) 636-2002
Mailing address
11154 S NATOMA AVE, WORTH, IL 60482-1930
(708) 752-3699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.005366
IL
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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