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General NPI Number Information
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NPI Number | 1316058597
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Entity Type | Individual
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Provider Name | JANELLE MARIE RESKE M.A. CCC-SLP/L
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 1653 W CONGRESS PKWY
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City | CHICAGO
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State | IL
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Zip | 60612-3833
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Country | US
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Telephone | 312-942-7184
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Fax |
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Provider Business Mailing Address
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Address Line | 838 W PANORAMA DR APT 316
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City | PALATINE
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State | IL
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Zip | 60067-0615
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Country | US
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Telephone | 612-719-2958
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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 | 146008981
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License Number State | IL
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Taxonomy #2
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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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