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Individual

MRS. BARBARA M WASILK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC/SLP-L

Contact information

Practice address
500 CONVENTRY LANE, SUITE 170, CRYSTAL LAKE, IL 60014
(815) 356-2700
(815) 356-2709
Mailing address
2 CIMARRON CT, CARY, IL 60013-3341
(847) 516-4615

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146-000877
IL

Other

Enumeration date
07/17/2012
Last updated
07/17/2012
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