MEDICARE: LINDSEY WORLEY

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	146010548	IL
2	235Z00000X	Speech-Language Pathologist	111136	TX

General Provider Information

NPI Number	:	1942525035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSEY WORLEY

Provider Business Mailing Address
First Line	:	1820 W WEBSTER AVE STE 106
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4892
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1820 W WEBSTER AVE STE 106
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-4892
Country	:	US
Telephone Number	:	847-287-5091
Fax Number	:

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

Provider Enumeration Date	:	03/31/2010
Last Update Date	:	01/11/2017

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Directions to “ LINDSEY WORLEY ” Practice Location

Language	Start Address	Practice Location

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