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1508266735
SUSAN THEIS
CHICAGO, IL
NPI
1508266735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 242003139)
Enumeration Date
2014-08-25
Last Update Date
2014-08-25
Business Address
-- SUSAN THEIS
4958 N MILWAUKEE AVE
CHICAGO, IL 60630-2377
Phone number: 773-205-8500
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Mailing Address
-- SUSAN THEIS
2144 LARKDALE DR
GLENVIEW, IL 60025-4107
Phone number: 847-421-2470
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