Tracey Ivan

NPI #1164149555 in Joliet, Illinois

Provider Information

NPI Number
1164149555
Entity Type
Individual
Name
Tracey Ivan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Enumeration Date
Oct 26, 2022
Last Updated
Oct 26, 2022

Practice Location

Address
401 N LARKIN AVE
City
Joliet
ZIP Code
60435-6606
Phone
(815) 774-6561

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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