Individual
ELLEN MARIE LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS
Contact information
Practice address
470 GRAPE VINE TRL, SUITE 100, OSWEGO, IL 60543-6017
(630) 661-7253
(855) 765-7549
Mailing address
470 GRAPE VINE TRL, OSWEGO, IL 60543-6017
(630) 661-7253
(855) 765-7549
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010079
IL
Other
Enumeration date
12/26/2006
Last updated
02/03/2015
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