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NPI Code Detail

MEDICARE: EMILY DOWELL M.S CCC-SLP

MEDICARE:   EMILY  DOWELL  M.S 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 PathologistIL

General Provider Information

NPI Number : 1962533265
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY DOWELL M.S CCC-SLP
Provider Business Mailing Address
First Line : 2645 N SOUTHPORT AVE
Second Line : #2
City : CHICAGO
State : IL
Zip : 60614-1227
Country : US
Telephone Number : 312-718-7022
Fax Number :
Provider Business Practice Location Address
First Line : 2645 N SOUTHPORT AVE
Second Line : #2
City : CHICAGO
State : IL
Zip : 60614-1227
Country : US
Telephone Number : 312-718-7022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/08/2007

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Directions to “ EMILY DOWELL M.S CCC-SLP” Practice Location

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