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NPI Code Detail

MEDICARE: FLAVIA KIMBERLY PIRRONE M.S., CCC-SLP

MEDICARE:   FLAVIA KIMBERLY PIRRONE  M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist146015013IL

General Provider Information

NPI Number : 1093353328
Entity Type Code : Individual
Provider Name (Legal Business Name) : FLAVIA KIMBERLY PIRRONE M.S., CCC-SLP
Provider Business Mailing Address
First Line : 835 W WILLOW ST APT 3B
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5066
Country : US
Telephone Number : 630-254-4047
Fax Number :
Provider Business Practice Location Address
First Line : 3800 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-3606
Country : US
Telephone Number : 773-478-4222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2019
Last Update Date : 12/17/2019

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Directions to “ FLAVIA KIMBERLY PIRRONE M.S., CCC-SLP” Practice Location

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