BRANDON R WIGBOLDY

TINLEY PARK, IL
NPI1285178277
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146011666)
Enumeration Date2016-12-09
Last Update Date2016-12-09
Business Address
-- BRANDON R WIGBOLDY MS CCC-SLP/L
17207 71ST AVE
TINLEY PARK, IL 60477-3303
Phone number: 708-362-4603
Mailing Address
-- BRANDON R WIGBOLDY MS CCC-SLP/L
17207 71ST AVE
TINLEY PARK, IL 60477-3303
Phone number: 708-362-4603