Individual
EMMA KATHRYN EISERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
1013 ADAMS ST, OTTAWA, IL 61350-4304
(815) 434-0857
Mailing address
1013 ADAMS ST, OTTAWA, IL 61350-4304
(815) 434-0857
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
242005385
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242005385
IDFPR LICENSE NUMBER
IL
Enumeration date
06/15/2019
Last updated
07/22/2019
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