MEDICARE: MISS JOHANNA FRANCINE DRUCKER 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	146.012556	IL

General Provider Information

NPI Number	:	1811381478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS JOHANNA FRANCINE DRUCKER M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	1717 N DAYTON ST
Second Line	:	APT 204
City	:	CHICAGO
State	:	IL
Zip	:	60614-5695
Country	:	US
Telephone Number	:	847-274-0267
Fax Number	:

Provider Business Practice Location Address
First Line	:	1422 W WILLOW ST
Second Line	:	SUITE 101
City	:	CHICAGO
State	:	IL
Zip	:	60642-8978
Country	:	US
Telephone Number	:	312-399-0370
Fax Number	:

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

Provider Enumeration Date	:	03/22/2015
Last Update Date	:	03/22/2015

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Directions to “ MISS JOHANNA FRANCINE DRUCKER M.S., CCC-SLP” Practice Location

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