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Individual

ISHA VAISHAMPAYAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
761 E OLD BARN LN, ARLINGTON HEIGHTS, IL 60005-3272
(847) 364-2435
Mailing address
761 E OLD BARN LN, ARLINGTON HEIGHTS, IL 60005-3272

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242003647
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
146013502
ILLINOIS SPEECH LICENSE
IL
Enumeration date
06/01/2016
Last updated
06/03/2022
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