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NPI Code Detail

MEDICARE: MS. KATHRYN PATRICIA PAULUS M.A.

MEDICARE: MS. KATHRYN PATRICIA PAULUS M.A.
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 : 1871805226
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN PATRICIA PAULUS M.A.
Provider Business Mailing Address
First Line : 1750 W JULIAN ST
Second Line : APT 6
City : CHICAGO
State : IL
Zip : 60622-2110
Country : US
Telephone Number : 815-546-2471
Fax Number :
Provider Business Practice Location Address
First Line : 1957 W DICKENS AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-3934
Country : US
Telephone Number : 815-546-2471
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2010
Last Update Date : 05/21/2015

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