Organization
LIGHTHOUSE SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFANIE MCWILLIAMS M.S., CCC-SLP (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(815) 509-1995
Entity
Organization
Contact information
Practice address
203 W MAIN ST, ROCKTON, IL 61072-2418
(815) 957-0099
Mailing address
203 W MAIN ST, ROCKTON, IL 61072-2418
(815) 957-0099
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891256327
—
IL
Enumeration date
03/16/2023
Last updated
03/16/2023
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