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Contact Information

ILLINOIS WISCONSIN SERTOMA REGIONAL CENTER FOR COMMUNICATIVE DISORDERS
10409 SOUTH ROBERTS ROAD
PALOS HILLS, IL60465
 Phone: 708-599-9500
 Fax: 708-599-2791
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Audiologist

231H00000X 64 Audiologist
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for ILLINOIS WISCONSIN SERTOMA REGIONAL CENTER FOR COMMUNICATIVE DISORDERS · (Female)

NPI # 1912072729
Status Active
Credentials
Entity Individual
Enumeration date 11/21/2006
Last updated 02/20/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 146002791
  • IL Medicaid 344622092001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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