Individual
COLLEEN RUNTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC SLPP/L
Contact information
Practice address
3965 75TH ST, SUITE 104, AURORA, IL 60504-7925
(630) 236-7000
Mailing address
3965 75TH ST, SUITE 104, AURORA, IL 60504-7925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010512
IL
Other
Enumeration date
11/09/2010
Last updated
12/28/2010
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