Organization
AUTHENTIC EXPRESSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDI RABE CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(847) 881-6442
Entity
Organization
Contact information
Practice address
7919 CENTRAL AVE, MORTON GROVE, IL 60053-3607
(847) 881-6442
Mailing address
7919 CENTRAL AVE, MORTON GROVE, IL 60053-3607
(847) 881-6442
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146007347
IL
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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