Organization Name: | SUSAN VORWERK MAT CCC SLP SPEECH & LANGUAGE PATHOLOGY SERVICES PC |
NPI Number: | 1033234992 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN JANE RICHARD VORWERK (PRESIDENT) |
Mailing Address: | 3235 Vollmer Rd Suite 104 Flossmoor |
State: | IL US |
Postal Code: | 604222013 |
Phone Number: | 7087997900 |
Fax Number: | 7087997977 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 08/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146000355 |
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 |