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NPI Code Detail

MEDICARE: NATASHA VAYNER GIGLIOTTI CCC-SLP

MEDICARE:   NATASHA VAYNER GIGLIOTTI  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 Pathologist18991CA

General Provider Information

NPI Number : 1144610379
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATASHA VAYNER GIGLIOTTI CCC-SLP
Provider Business Mailing Address
First Line : 7622 CHURCH ST
Second Line :
City : MORTON GROVE
State : IL
Zip : 60053-1617
Country : US
Telephone Number : 818-422-6089
Fax Number :
Provider Business Practice Location Address
First Line : 7622 CHURCH ST
Second Line :
City : MORTON GROVE
State : IL
Zip : 60053-1617
Country : US
Telephone Number : 818-422-6089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2015
Last Update Date : 04/11/2021

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Directions to “ NATASHA VAYNER GIGLIOTTI CCC-SLP” Practice Location

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