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Organization

NORTHWESTERN ILLINOIS ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANE NEISENDORF (COORDINATOR)
(815) 895-9227
Entity
Organization

Contact information

Practice address
1895 BUNKER HILL RD, DUBUQUE, IA 52001-3004
(563) 582-4387
Mailing address
245 W EXCHANGE ST, SYCAMORE, IL 60178-1495

Taxonomy

Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
2252428
IL

Other

Enumeration date
10/28/2008
Last updated
10/28/2008
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