MEDICARE: JULIANNE SALAZAR MS., 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	22007447A	IN
2	235Z00000X	Speech-Language Pathologist	146015231	IL

General Provider Information

NPI Number	:	1851996649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIANNE SALAZAR MS., CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 953
Second Line	:
City	:	ADDISON
State	:	IL
Zip	:	60101-0953
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9138 SOUTHMOOR AVE
Second Line	:
City	:	HIGHLAND
State	:	IN
Zip	:	46322-2513
Country	:	US
Telephone Number	:	708-214-7564
Fax Number	:

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

Provider Enumeration Date	:	12/01/2020
Last Update Date	:	12/01/2020

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Directions to “ JULIANNE SALAZAR MS., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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