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NPI Code Detail

MEDICARE: EMILY SUE LEIGVOLD

MEDICARE: EMILY SUE LEIGVOLD
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 Pathologist201099AR

General Provider Information

NPI Number : 1528684248
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY SUE LEIGVOLD
Provider Business Mailing Address
First Line : 1233 W ADAMS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2801
Country : US
Telephone Number : 608-495-0816
Fax Number :
Provider Business Practice Location Address
First Line : 1233 W ADAMS ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-2801
Country : US
Telephone Number : 608-495-0816
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2020
Last Update Date : 08/01/2024

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Directions to “ EMILY SUE LEIGVOLD ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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