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Mrs. Deborah Provenzano, SLPA
Speech-Language Assistant in Chicago, Illinois
NPI 1164548376

Deborah Provenzano is a Speech-Language Assistant based in Chicago, IL and is specialized in Speech-Language Assistant. Deborah Provenzano practices in Chicago, IL and has the professional credentials of SLPA. The NPI Number for Deborah Provenzano is 1164548376 and holds a License No. (Illinois).

The current practice location address for Deborah Provenzano is 9736 S Hamilton Ave, Chicago, IL and can be reached out via phone at 773-343-8484 and via fax at 773-305-0954. You can also correspond with Deborah Provenzano through the mailing address at 9736 S HAMILTON AVE, CHICAGO, IL - 60643-1644 (mailing address contact number: 773-343-8484).

Location: 9736 S Hamilton Ave, Chicago, IL, 60643-1644
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Provider Profile Details
NPI Number
1164548376
Provider Name
Deborah Provenzano
Credential
SLPA
Provider Entity Type
Individual
Gender
Female
Address
9736 S Hamilton Ave, Chicago, IL, 60643-1644
Phone Number
773-343-8484
Fax Number
773-305-0954
Provider Enumeration Date
03/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01635583 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
9736 S Hamilton Ave
City
State
Zip
60643-1644
Phone Number
773-343-8484
Fax Number
773-305-0954
person
Provider Business Mailing Address Details
Address
9736 S Hamilton Ave
City
State
Zip
60643-1644
Phone Number
773-343-8484
Fax Number
773-305-0954
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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