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Individual

MS. CYNDI LUANN JOPLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
4701 N OAK ST, CRYSTAL LAKE, IL 60012-3309
(815) 788-1020
(815) 788-1422
Mailing address
82 WOODBINE DR, CRYSTAL LAKE, IL 60014-5050
(815) 788-1020
(815) 788-1422

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0035640653
BLUE CROSS BLUE SHIELD
IL
05
303546180001
IL
Enumeration date
03/29/2007
Last updated
07/08/2007
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