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NPI 1205349214

NPI 1205349214 : CELIA ROTHSCHILD MS SLP : BUFFALO GROVE, IL

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General NPI Number Information
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    NPI Number           |    1205349214
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    Entity Type          |    Individual 
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    Provider Name        |    CELIA ROTHSCHILD MS SLP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/13/2017
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    Last Update Date     |    11/13/2017
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Provider Practice Location Address
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    Address Line         |    1100 W DUNDEE RD 
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    City                 |    BUFFALO GROVE
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    State                |    IL
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    Zip                  |    60089-4054
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    Country              |    US
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    Telephone            |    847-718-4249
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2121 S GOEBBERT RD 
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    City                 |    ARLINGTON HEIGHTS
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    State                |    IL
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    Zip                  |    60005-4205
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    242.004634
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    License Number State |    IL
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