MICHAEL LYSAUGHT

FRANKFORT, IL
NPI1134895923
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242.006.490)
Enumeration Date2021-08-20
Last Update Date2021-08-20
Business Address
MICHAEL LYSAUGHT
601 WILLOW ST
FRANKFORT, IL 60423-1140
Phone number: 815-806-4685
Mailing Address
MICHAEL LYSAUGHT
2628 W 107TH ST
CHICAGO, IL 60655-1707
Phone number: 708-941-7336