Individual
MRS. BRIANNA MEDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
146 MARKEV LN, NEW LENOX, IL 60451-1138
(815) 260-2028
Mailing address
146 MARKEV LN, NEW LENOX, IL 60451-1138
(815) 260-2028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012880
IL
Other
Enumeration date
11/29/2015
Last updated
02/24/2017
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