Individual
CHRISTINE WANCKET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
9813 S HOYNE AVE, CHICAGO, IL 60643-1728
(708) 305-0733
Mailing address
9813 S HOYNE AVE, CHICAGO, IL 60643-1728
(708) 305-0733
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011622
IL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/12/2015
Last updated
03/05/2019
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