Individual
ANNA MANILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
525 TYLER RD STE Q1, ST CHARLES, IL 60174-3360
(630) 444-0077
Mailing address
4231 N KEDZIE AVE UNIT 2F, CHICAGO, IL 60618-2401
(630) 335-9076
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014296
IL
Other
Enumeration date
01/22/2019
Last updated
11/18/2019
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