Individual
BAILEY SONE CHARVAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2130 W BELMONT AVE, #3A, CHICAGO, IL 60618-6990
(827) 226-6596
Mailing address
2130 W BELMONT AVE, #3A, CHICAGO, IL 60618-6990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012659
IL
Other
Enumeration date
05/27/2015
Last updated
01/12/2017
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