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NPI Code Detail

MEDICARE: MRS. JULIE A CAREY M.A. CCC-SLP

MEDICARE:  MRS. JULIE A CAREY  M.A. 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 Pathologist146009446IL

General Provider Information

NPI Number : 1891167425
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE A CAREY M.A. CCC-SLP
Provider Business Mailing Address
First Line : 10105 S KILBOURN AVE
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-4230
Country : US
Telephone Number : 773-895-1334
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 : 10/22/2015
Last Update Date : 10/22/2015

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Directions to “ MRS. JULIE A CAREY M.A. CCC-SLP” Practice Location

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