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NPI Code Detail

MEDICARE: MS. MEGAN ROSE PAONE M. S. CCC-SLP

MEDICARE: MS. MEGAN ROSE PAONE M. S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146009620IL

General Provider Information

NPI Number : 1033460738
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEGAN ROSE PAONE M. S. CCC-SLP
Provider Business Mailing Address
First Line : 1560 N SANDBURG TER
Second Line : #4109
City : CHICAGO
State : IL
Zip : 60610-1351
Country : US
Telephone Number : 312-218-5204
Fax Number :
Provider Business Practice Location Address
First Line : 4437 S CICERO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60632-4333
Country : US
Telephone Number : 773-884-0484
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2012
Last Update Date : 09/21/2012

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Directions to “ MS. MEGAN ROSE PAONE M. S. CCC-SLP” Practice Location

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