Individual
JACQUELINE AREVALO-AGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
6313 S OAK PARK AVE, #3, CHICAGO, IL 60638-4001
(773) 543-5410
Mailing address
6313 S OAK PARK AVE, #3, CHICAGO, IL 60638-4001
(773) 543-5410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242002565
IL
Other
Enumeration date
12/09/2013
Last updated
05/19/2016
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