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NPI Code Detail

MEDICARE: COMMUNICATION TLC, LLC

MEDICARE: COMMUNICATION TLC, LLC
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 Pathologist146.004942IL

General Provider Information

NPI Number : 1225321672
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNICATION TLC, LLC
Provider Business Mailing Address
First Line : 4236 N ASHLAND AVE
Second Line : NUM 3
City : CHICAGO
State : IL
Zip : 60613-1202
Country : US
Telephone Number : 773-368-9514
Fax Number :
Provider Business Practice Location Address
First Line : 4236 N ASHLAND AVE
Second Line : NUM 3
City : CHICAGO
State : IL
Zip : 60613-1202
Country : US
Telephone Number : 773-368-9514
Fax Number :
Authorized Official
Title or Position : SPEECH-LANGUAGE PATHOLOGIST
Name : SUZANNE MARGARET CARR
Credential : M.A., CCC-SLP
Telephone Number : 773-368-9514
Provider Enumeration Date : 05/18/2011
Last Update Date : 05/18/2011

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Directions to “COMMUNICATION TLC, LLC ” Practice Location

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