Organization
NORTHERN ILLINOIS UNIVERSITY
Active
Other names
Speech and Hearing clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA JULIANN SCHAIRER SLP (SPEECH LANGUAGE PATHOLOGIST)
(815) 753-6528
Entity
Organization
Contact information
Practice address
1 LUCINDA AVENUE, NORTHERN ILLINOIS UNIVERSITY, DEKALB, IL 60115
(815) 753-1481
(815) 753-1664
Mailing address
1 LUCINDA AVENUE, NORTHERN ILLINOIS UNIVERSITY, DEKALB, IL 60115
(815) 753-1481
(815) 753-1664
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
397581129001
—
IL
Enumeration date
01/17/2007
Last updated
08/22/2020
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