Individual
ANNALISA NARDULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
7616 E PRAIRIE RD, SKOKIE, IL 60076-3758
(847) 673-1141
Mailing address
5001 N DENAL ST, NORRIDGE, IL 60706-2802
(708) 407-4338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14306381
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14306381
—
IL
Enumeration date
08/19/2022
Last updated
08/19/2022
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