Organization
SPEECH BREAKTHROUGHS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COURTNEY LEQUANA MATHEWS (SPEECH PATHOLOGIST/OWNER)
(773) 407-6655
Entity
Organization
Contact information
Practice address
1157 E 61ST ST, APT # 1, CHICAGO, IL 60637-2740
(773) 407-6655
Mailing address
1157 E 61ST ST, APT # 1, CHICAGO, IL 60637-2740
(773) 407-6655
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
146008743
IL
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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