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NPI 1457908576

NPI 1457908576 : RACHEL LYNN FERRIGAN M.S. : DEERFIELD, IL

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General NPI Number Information
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    NPI Number           |    1457908576
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL LYNN FERRIGAN M.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/22/2019
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    Last Update Date     |    08/22/2019
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Provider Practice Location Address
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    Address Line         |    1335 CAROL LN 
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    City                 |    DEERFIELD
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    State                |    IL
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    Zip                  |    60015-2036
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    Country              |    US
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    Telephone            |    312-209-4467
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5636 N NEVA AVE 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60631-2441
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    Country              |    US
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    Telephone            |    312-521-3222
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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       |    242005350
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    License Number State |    IL
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