Individual
MS. BEVERLY HARRISON DALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
520 S. MAPLE AVE, ROPH, OAK PARK, IL 60304
(708) 660-2819
(708) 660-3714
Mailing address
520 S. MAPLE AVE, ROPH (RUSH OAK PARK HOSPITAL), OAK PARK, IL 60304
(708) 660-2819
(708) 660-3714
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008078
IL
Other
Enumeration date
09/03/2008
Last updated
10/23/2012
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