Individual
DANIELLE ANN TSUPROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 VILLAGE CIRCLE DR, PALOS PARK, IL 60464-3541
(708) 361-3683
Mailing address
10300 VILLAGE CIRCLE DR, PALOS PARK, IL 60464-3541
(708) 361-3683
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.015036
IL
235Z00000X
Speech-Language Pathologist
242.004805
IL
Other
Enumeration date
09/04/2018
Last updated
12/10/2020
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