Fraher, Kimberly Lay

Fraher, Kimberly Lay is an sole proprietor health care provider with primary practice located at 1530 North Maplewood Ave , Chicago IL 60622. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fraher, Kimberly Lay can be contacted via phone (773) 782-3189.

Contact Information

Primary practice address
1530 North Maplewood Ave Chicago IL 60622
Phone: (773) 782-3189
Fax: (773) 782-3189
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146-005843 Illinois

Profile Details

NPI number 1770558660
LBN Legal business name Fraher, Kimberly Lay
Credentials M.ED., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 22nd, 2006
Last updated Apr 7th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770558660 NPPES
Illinois Other 01632614 BC/BS OF IL PROV #

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