Individual
COLIN BRIAN GUIBAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
1350 W HAWLEY ST, MUNDELEIN, IL 60060-1519
(847) 949-2200
Mailing address
1350 W HAWLEY ST, MUNDELEIN, IL 60060-1519
(847) 949-2200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146014276
IL
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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