Individual
FENICE DEIDRE HEDGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 MOONLIGHT RD, MATTESON, IL 60443-1283
(708) 715-6218
Mailing address
121 MOONLIGHT RD, MATTESON, IL 60443-1283
(708) 715-6218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
217000431
IL
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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