Individual
EMILY DAZA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
422 N NORTHWEST HWY STE 210, PARK RIDGE, IL 60068-3273
(847) 699-9757
Mailing address
422 N NORTHWEST HWY STE 210, PARK RIDGE, IL 60068-3273
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
242.018622
IL
Other
Enumeration date
03/24/2022
Last updated
06/08/2026
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