MARIA I MODAYIL

ROCKFORD, IL
NPI1316260920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146010077)
Enumeration Date2010-03-10
Last Update Date2010-03-10
Business Address
-- MARIA I MODAYIL SLP
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number: 815-226-2000
Mailing Address
-- MARIA I MODAYIL SLP
5666 E STATE ST
ROCKFORD, IL 61108-2425
Phone number: 815-226-2000
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