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NPI Code Detail

MEDICARE: EMILY WESOLOWSKI

MEDICARE: EMILY WESOLOWSKI
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 Pathologist242005799IL

General Provider Information

NPI Number : 1962004275
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY WESOLOWSKI
Provider Business Mailing Address
First Line : 19100 CRESCENT DR STE 101
Second Line :
City : MOKENA
State : IL
Zip : 60448-7526
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19100 CRESCENT DR STE 101
Second Line :
City : MOKENA
State : IL
Zip : 60448-7526
Country : US
Telephone Number : 708-478-5400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2020
Last Update Date : 03/26/2024

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Directions to “ EMILY WESOLOWSKI ” 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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