Organization
NORTHWESTERN UNIVERSITY SLL CLINIC
Active
Other names
Northwestern University Speech-Language-Learning Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PROF. SUMITRAJIT DHAR PHD (ASSOCIATE CHAIR)
(847) 491-2470
Entity
Organization
Contact information
Practice address
2315 CAMPUS DR, EVANSTON, IL 60208-3550
(847) 491-3165
(847) 467-7141
Mailing address
2315 CAMPUS DR, EVANSTON, IL 60208-3550
(847) 491-3165
(847) 467-0410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
11/15/2012
Last updated
11/02/2016
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