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Individual

GILLIAN ROSE TIDWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1371 ABBOTT CT STE A, BUFFALO GROVE, IL 60089-2367
(847) 777-8995
Mailing address
1371 ABBOTT CT STE A, BUFFALO GROVE, IL 60089-2367

Taxonomy

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

Other

Enumeration date
06/08/2026
Last updated
06/08/2026
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