Organization
GATES SPEECH THERAPY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE A GATES (OWNER)
(815) 788-8824
Entity
Organization
Contact information
Practice address
840 WIGGINTON DR, CRYSTAL LAKE, IL 60014-6943
(815) 788-8824
(815) 788-8824
Mailing address
840 WIGGINTON DR, CRYSTAL LAKE, IL 60014-6943
(815) 788-8824
(815) 788-8824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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