Individual
ALLISON MARIE BOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 S REED ST, JOLIET, IL 60436-2050
(815) 744-3500
Mailing address
6525 SHABBONA RD, INDIAN HEAD PARK, IL 60525-4353
(708) 253-7313
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.003794
IL
Other
Enumeration date
07/16/2016
Last updated
07/16/2016
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