MEDICARE: DANA TOWLER 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
1	235Z00000X	Speech-Language Pathologist	146.006904	IL

General Provider Information

NPI Number	:	1285756775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA TOWLER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	4707 PATTY LN
Second Line	:
City	:	RINGWOOD
State	:	IL
Zip	:	60072-9680
Country	:	US
Telephone Number	:	815-728-1789
Fax Number	:

Provider Business Practice Location Address
First Line	:	5150 NORTHWEST HWY
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-8058
Country	:	US
Telephone Number	:	815-455-9800
Fax Number	:	815-455-9359

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

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	10/31/2016

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