Doctor Name: | MRS. GENEVIEVE MARIE D'AQUILA |
NPI Number: | 1003188863 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 146009555 |
Business Practice Address: | 1366 W Fullerton Ave Chicago, IL - 606142129 |
Business Phone Number: | 7722489300 |
Business Fax Number: | |
Mailing Address: | 909 W Washington Blvd, No. 712 CHICAGO |
State: | IL |
Postal Code: | 606072204 |
Phone Number: | 3124211654 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2012 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146009555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |