KIRSTEN DEACETIS

ANTIOCH, IL
NPI1407046527
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146007211)
Enumeration Date2007-07-25
Last Update Date2007-07-25
Business Address
-- KIRSTEN DEACETIS MPH, CCC, SLP/L
311 W DEPOT ST SUITE F
ANTIOCH, IL 60002-1500
Phone number: 847-838-8085
Mailing Address
-- KIRSTEN DEACETIS MPH, CCC, SLP/L
266 JASMINE CIR
LINDENHURST, IL 60046-4946
Phone number: