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General NPI Number Information
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NPI Number | 1609697663
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Entity Type | Organization
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Legal Business Name | CLARION VOICE & SPEECH PLLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 4311 N RAVENSWOOD AVE STE 221
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City | CHICAGO
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State | IL
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Zip | 60613-1192
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Country | US
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Telephone | 847-440-4603
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Fax |
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Provider Business Mailing Address
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Address Line | 4311 N RAVENSWOOD AVE STE 221
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City | CHICAGO
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State | IL
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Zip | 60613-1192
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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 | OWNER / SPEECH LANGUAGE PATHOLOGIST
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Name | SARAH KLUSAK
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Credential | MS CCC-SLP
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Telephone | 847-440-4603
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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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