Individual
ABBEY FUQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2232 N CLYBOURN AVE, CHICAGO, IL 60614-3193
(815) 715-8936
Mailing address
928 W OAKDALE AVE, CHICAGO, IL 60657-5068
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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