Gardner, Judith M

Gardner, Judith M is an individual health care provider with primary practice located at 830 S Addison Ave , Villa Park IL 60181-2877. 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. Gardner, Judith M can be contacted via phone (630) 620-4433.

Contact Information

Primary practice address
830 S Addison Ave Villa Park IL 60181-2877
Phone: (630) 620-4433
Fax: (630) 620-1148
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146-000245 Illinois

Profile Details

NPI number 1558478206
LBN Legal business name Gardner, Judith M
Credentials MA,CCC-SLP/L,C/NDT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 12th, 2019 - about 6 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 1558478206 NPPES
Illinois Other 146000245 SLP LICENSE

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