Healthcare Provider Details

I. General information

NPI: 1225186729
Provider Name (Legal Business Name): SYLVIA L GARLAND SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3965 75TH ST
AURORA IL
60504-7913
US

IV. Provider business mailing address

2166 RIDGEWOOD RD
LISLE IL
60532-3317
US

V. Phone/Fax

Practice location:
  • Phone: 630-236-7000
  • Fax: 630-236-7800
Mailing address:
  • Phone: 630-961-8216
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: