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NPI Code Detail

MEDICARE: JULIA CAVENEY

MEDICARE: JULIA CAVENEY
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 Pathologist146.013460IL

General Provider Information

NPI Number : 1386151116
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA CAVENEY
Provider Business Mailing Address
First Line : 14632 KEELER AVE
Second Line :
City : MIDLOTHIAN
State : IL
Zip : 60445-2727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3709 N KEDZIE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60618-4503
Country : US
Telephone Number : 773-377-5492
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/02/2018
Last Update Date : 01/02/2018

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Directions to “ JULIA CAVENEY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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