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NPI Code Detail

MEDICARE: LAURA FLAHAVEN MS CCC-SLP

MEDICARE: LAURA FLAHAVEN MS 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 Pathologist146.010714IL

General Provider Information

NPI Number : 1396083572
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA FLAHAVEN MS CCC-SLP
Provider Business Mailing Address
First Line : 7358 N LINCOLN AVE STE 160
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-1797
Country : US
Telephone Number : 847-983-8750
Fax Number :
Provider Business Practice Location Address
First Line : 1901 SILVER GLEN RD
Second Line :
City : SOUTH ELGIN
State : IL
Zip : 60177-3351
Country : US
Telephone Number : 224-407-8994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2013
Last Update Date : 06/09/2026

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Directions to “ LAURA FLAHAVEN MS CCC-SLP” Practice Location

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