Individual
MS. GINA THERESA ULRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC/SLP
Contact information
Practice address
168 N CUYLER AVE, OAK PARK, IL 60302-2602
(708) 445-0978
Mailing address
168 N CUYLER AVE, OAK PARK, IL 60302-2602
(708) 445-0978
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.003674
IL
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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