MEDICARE: BRITTANY LYNN TORRES

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

General Provider Information

NPI Number	:	1538683321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY LYNN TORRES

Provider Business Mailing Address
First Line	:	3941 N KEELER AVE APT 101
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60641-2909
Country	:	US
Telephone Number	:	407-227-8522
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 W FULLERTON AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2600
Country	:	US
Telephone Number	:	407-227-8852
Fax Number	:

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

Provider Enumeration Date	:	08/02/2017
Last Update Date	:	03/21/2023

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Directions to “ BRITTANY LYNN TORRES ” Practice Location

Language	Start Address	Practice Location

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