Pediatric Place
NPI #1427121458 in Crystal Lake, Illinois
Provider Information
- NPI Number
- 1427121458
- Entity Type
- Organization
- Organization Name
- Pediatric Place
- Primary Specialty
- Specialist/Technologist - Speech-Language Assistant
- Enumeration Date
- Nov 16, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1095 PINGREE RD.
- City
- Crystal Lake
- State
- Illinois
- ZIP Code
- 60014
- Phone
- (847) 458-8890
Authorized Official
- Name
- JOAN CLARK
- Title
- SLPP
- Phone
- (847) 458-8890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Speech-Language Assistant — Speech-Language Assistant |
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