DEEPA VADAKEDOM

MORTON GROVE, IL
NPI1609214998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146011402)
Enumeration Date2013-06-07
Last Update Date2013-06-07
Business Address
-- DEEPA VADAKEDOM
7643 CHURCH ST
MORTON GROVE, IL 60053-1618
Phone number: 469-258-5926
Mailing Address
-- DEEPA VADAKEDOM
7643 CHURCH ST
MORTON GROVE, IL 60053-1618
Phone number:
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