University of Illinois Speech and Hearing

NPI #1497923767 in Champaign, Illinois

Provider Information

NPI Number: 1497923767
Entity Type: Organization
Organization Name: University of Illinois Speech and Hearing
Subpart: Yes (part of a larger organization)
Parent Organization: UNIVERSITY OF ILLINOIS
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Feb 20, 2008
Last Updated: Aug 27, 2019

Practice Location

Address: 2001 S OAK ST
Address 2: SUITE B
City: Champaign
State: Illinois
ZIP Code: 61820-0906
Phone: (217) 333-2205

Authorized Official

Name: CLARION MENDES, SLP
Title: DIRECTOR OF CLINICAL EDUCATION
Phone: (217) 333-2205

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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