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NPI Code Detail

MEDICARE: MEREDITH VOGEL

MEDICARE:   MEREDITH  VOGEL
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 Pathologist

General Provider Information

NPI Number : 1750950812
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEREDITH VOGEL
Provider Business Mailing Address
First Line : 3246 N CLIFTON AVE APT 2W
Second Line :
City : CHICAGO
State : IL
Zip : 60657-3329
Country : US
Telephone Number : 217-433-9558
Fax Number :
Provider Business Practice Location Address
First Line : 1500 N CLYBOURN AVE UNIT C105
Second Line :
City : CHICAGO
State : IL
Zip : 60610-2295
Country : US
Telephone Number : 312-242-1665
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2021
Last Update Date : 06/23/2021

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Directions to “ MEREDITH VOGEL ” Practice Location

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