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NPI Code Detail

MEDICARE: MS. JANINE R. ALFIREVIC MS/CCC-SLP-L

MEDICARE: MS. JANINE R. ALFIREVIC MS/CCC-SLP-L
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 Pathologist146-002380IL
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1215252226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANINE R. ALFIREVIC MS/CCC-SLP-L
Provider Business Mailing Address
First Line : 1551 HUNTINGTON DR
Second Line :
City : CALUMET CITY
State : IL
Zip : 60409-5440
Country : US
Telephone Number : 708-915-4726
Fax Number : 708-862-2211
Provider Business Practice Location Address
First Line : 1551 HUNTINGTON DR
Second Line :
City : CALUMET CITY
State : IL
Zip : 60409-5440
Country : US
Telephone Number : 708-915-4726
Fax Number : 708-862-2211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2010
Last Update Date : 04/01/2010

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