Individual
DIANA MERAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
240 PRAIRIE AVE, HIGHWOOD, IL 60040-1610
(224) 765-3178
Mailing address
3019 N HAMLIN AVE APT 2, CHICAGO, IL 60618-7319
(773) 595-7577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146016416
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16220600
—
IL
Enumeration date
09/10/2021
Last updated
02/23/2024
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