Individual
MRS. ALYSSA AVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8851 W 151ST ST, ORLAND PARK, IL 60462
(708) 364-3700
Mailing address
15100 S 94TH AVE, ORLAND PARK, IL 60462-3291
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.014848
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/31/2018
Last updated
10/30/2019
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