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NPI Code Detail

MEDICARE: BRENNAN SPEECH SERVICES LIMITED

MEDICARE: BRENNAN SPEECH SERVICES LIMITED
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 Pathologist146-004747IL

General Provider Information

NPI Number : 1891930723
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRENNAN SPEECH SERVICES LIMITED
Provider Business Mailing Address
First Line : 1934 W WELLINGTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4030
Country : US
Telephone Number : 773-525-2363
Fax Number :
Provider Business Practice Location Address
First Line : 1934 W WELLINGTON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60657-4030
Country : US
Telephone Number : 773-525-2363
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : COLLEEN MARY BRENNAN
Credential : M.S. CCC-SLP
Telephone Number : 773-525-2363
Provider Enumeration Date : 12/05/2008
Last Update Date : 12/05/2008

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Directions to “BRENNAN SPEECH SERVICES LIMITED ” Practice Location

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