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NPI Code Detail

MEDICARE: VIVIAN BAADER MHS, CCC-SLP/L

MEDICARE: VIVIAN BAADER MHS, CCC-SLP/L
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 Pathologist146009021IL

General Provider Information

NPI Number : 1437557535
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN BAADER MHS, CCC-SLP/L
Provider Business Mailing Address
First Line : 11053 S MILLARD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-3327
Country : US
Telephone Number : 773-253-9856
Fax Number :
Provider Business Practice Location Address
First Line : 11053 S MILLARD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60655-3327
Country : US
Telephone Number : 773-253-9856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2014
Last Update Date : 07/14/2020

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Directions to “ VIVIAN BAADER MHS, CCC-SLP/L” 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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