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Speech-Language Pathologist · St Charles, IL

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At a glance

210 S 5Th St, St Charles, IL 60174-2764

NPPES record updated May 27, 2009. Public records can lag behind changes at a practice.

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Practice location

210 S 5Th St Suite 205
St Charles, IL 60174-2764

Professional details: NPI, taxonomy & registry record

NPI1760617369

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Registry details

Primary taxonomy: Speech-Language Pathologist
Taxonomy code: 235Z00000X
Enumeration date: May 27, 2009
Record updated: May 27, 2009

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Speech-Language Pathologist

235Z00000X · Primary

License reported: 146.007046 IL

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

210 S 5Th St
Suite 205
St Charles, IL 60174-2764

Phone: (630) 742-6238
Fax: (639) 340-3135

Mailing address

2009 FARMINGTON LAKES DR
APT. 7
OSWEGO, IL 605438104

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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