Individual
MISS GABRIELLA ROSE PERLONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(312) 243-8487
Mailing address
1921 W IRVING PARK RD, CHICAGO, IL 60613-2407
(312) 243-8487
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146016803
IL
235Z00000X
Speech-Language Pathologist
2018028043
MO
Other
Enumeration date
08/15/2018
Last updated
10/17/2022
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