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General NPI Number Information
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NPI Number | 1083556518
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Entity Type | Organization
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Legal Business Name | ELM TREE THERAPY, PLLC.
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Dates
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Enumeration Date | 04/06/2026
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Last Update Date | 04/06/2026
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Provider Practice Location Address
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Address Line | 474 CENTRAL AVE STE 206
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City | HIGHLAND PARK
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State | IL
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Zip | 60035-2661
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Country | US
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Telephone | 847-977-4043
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Fax |
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Provider Business Mailing Address
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Address Line | 116 EASTWOOD DR
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City | DEERFIELD
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State | IL
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Zip | 60015-5010
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Country | US
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Telephone | 847-977-4043
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Fax |
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Authorized Official
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Title or Position | OWNER/ SPEECH-LANGUAGE PATHOLOGIST
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Name | MILES ZABIN
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Credential | MS, CCC-SLP
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Telephone | 847-977-4043
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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