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NPI Code Detail

MEDICARE: MS. ADONTAUS CHALMERS

MEDICARE: MS. ADONTAUS CHALMERS
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 : 1871870279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ADONTAUS CHALMERS
Provider Business Mailing Address
First Line : 10935 HALSTED STREET
Second Line :
City : CHICAGO
State : IL
Zip : 60620-2532
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10935 S HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60628-3127
Country : US
Telephone Number : 773-928-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2011
Last Update Date : 05/24/2013

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Directions to “ MS. ADONTAUS CHALMERS ” Practice Location

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