Individual
DANIELA J MCMILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6305 JOLIET RD APT 6, COUNTRYSIDE, IL 60525-3909
(630) 863-1133
Mailing address
6305 JOLIET RD APT 6, COUNTRYSIDE, IL 60525-3909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010998
IL
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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