Shine On Pediatric Therapy, Pllc
NPI #1982392056 in Lake Zurich, Illinois
Provider Information
- NPI Number
- 1982392056
- Entity Type
- Organization
- Organization Name
- Shine On Pediatric Therapy, Pllc
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Apr 26, 2023
- Last Updated
- May 23, 2024
Practice Location
- Address
- 340 DENBERRY DR
- City
- Lake Zurich
- State
- Illinois
- ZIP Code
- 60047-7932
- Phone
- (847) 800-9530
Authorized Official
- Name
- MISS DIANA MARIA VANSTEDUM, MHS., CCC-SLP/L
- Title
- SPEECH-LANGUAGE PATHOLOGIST
- Phone
- (847) 800-9530
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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