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Individual

HEIDI LISA WAGREICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
331 GEORGE ST, WEST CHICAGO, IL 60185-3118
(630) 293-7324
Mailing address
312 E FOREST AVE, WEST CHICAGO, IL 60185-3528
(630) 909-4954

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146003249
IL

Other

Enumeration date
02/14/2018
Last updated
02/14/2018
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