Individual
MISS DONNA THERESE DILLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.H.S, CCC-SLP
Contact information
Practice address
447 QUASSEY AVE, LAKE BLUFF, IL 60044-1738
(224) 544-5421
Mailing address
447 QUASSEY AVE, LAKE BLUFF, IL 60044-1738
(224) 544-5421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.006134
IL
Other
Enumeration date
02/20/2007
Last updated
06/15/2012
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