Individual
DIANE LEE PENZKOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS CCCSLPL
Contact information
Practice address
1049 EAST WILSON STREET, SUITE 100, BATAVIA, IL 60510
(630) 761-0900
(630) 761-0909
Mailing address
1049 EAST WILSON STREET, SUITE 100, BATAVIA, IL 60510
(630) 761-0900
(630) 761-0909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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