Individual
ALEXIS GRAY RASLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
345 E SUPERIOR ST, CHICAGO, IL 60611-2654
(312) 238-1000
Mailing address
1219 FOREST AVE, OAK PARK, IL 60302-1203
(708) 848-5216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.001206
IL
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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