EMILY R GOMEZTAGLE

CHICAGO, IL
NPI1740540848
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146011739)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-05-22
Last Update Date2014-03-07
Business Address
Miss EMILY R GOMEZTAGLE MS-SLP-CCC
5130 W JACKSON BLVD
CHICAGO, IL 60644-4332
Phone number: 219-308-9477
Mailing Address
Miss EMILY R GOMEZTAGLE MS-SLP-CCC
2348 N LISTER AVE 207
CHICAGO, IL 60614-2994
Phone number: 219-308-9477