Organization
CORAL PEDIATRIC THERAPY LLC
Active
Other names
Coral Pediatric Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
NORMA LAURA GREGORIO-PEREZ CCC-SLP/L (SPEECH-LANGUAGE PATHOLOGIST)
(815) 201-2507
Entity
Organization
Contact information
Practice address
558 RUSSELL RD, DEKALB, IL 60115
(815) 201-2507
Mailing address
3230 SYCAMORE RD STE 164, DEKALB, IL 60115-9621
(815) 201-2507
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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