MEDICARE: MS. YAEL SPECTOR

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1891930111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. YAEL SPECTOR

Provider Business Mailing Address
First Line	:	8341 KOLMAR AVE
Second Line	:
City	:	SKOKIE
State	:	IL
Zip	:	60076-2639
Country	:	US
Telephone Number	:	773-718-7887
Fax Number	:

Provider Business Practice Location Address
First Line	:	3444 W WABANSIA AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-4813
Country	:	US
Telephone Number	:	773-534-4175
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/16/2008
Last Update Date	:	12/16/2008

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