Individual
DALE KERRIN LOUISE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
66 MILLER DR STE 102, NORTH AURORA, IL 60542-5144
(630) 907-9165
Mailing address
1912 WELLINGTON CT, NAPERVILLE, IL 60565-2601
(630) 618-8197
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242005166
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242005166
ILLINOIS DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION
IL
Enumeration date
10/12/2018
Last updated
10/12/2018
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