Organization
CENTER FOR SPEECH & LANGUAGE DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KOENIGSBERG MSCCCSLP (OWNER/THERAPIST)
(773) 750-7672
Entity
Organization
Contact information
Practice address
3537 N RETA AVE, UNIT 1, CHICAGO, IL 60657-9199
(773) 750-7672
(888) 241-8008
Mailing address
3537 N RETA AVE, UNIT 1, CHICAGO, IL 60657-9199
(773) 750-7672
(888) 241-8008
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146004108
IL
Other
Enumeration date
08/16/2016
Last updated
08/16/2016
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