MEDICARE: YEHUDA DAVID APPEL 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
1	235Z00000X	Speech-Language Pathologist	242.005043	IL

General Provider Information

NPI Number	:	1225511124
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YEHUDA DAVID APPEL SLP

Provider Business Mailing Address
First Line	:	2813 W MORSE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-2929
Country	:	US
Telephone Number	:	773-505-1113
Fax Number	:

Provider Business Practice Location Address
First Line	:	2813 W MORSE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-2929
Country	:	US
Telephone Number	:	773-505-1113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2018
Last Update Date	:	08/29/2022

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Directions to “ YEHUDA DAVID APPEL SLP” Practice Location

Language	Start Address	Practice Location

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