Individual
ABBY JO BAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
40W310 LAFOX ROAD, SUITE 1A, ST. CHARLES, IL 60175
(630) 444-0077
Mailing address
349 N LINCOLN ST, BATAVIA, IL 60510-1917
(630) 444-0077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.000406
IL
Other
Enumeration date
01/11/2007
Last updated
03/06/2008
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