| Doctor Name: | MRS. ANNE STEFANSKI-DOUGLAS |
| NPI Number: | 1053452185 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, CCC-SLP |
| License Number: | 146-005994 |
| Business Practice Address: | 1133 N Dearborn St #2904 Chicago, IL - 606102783 |
| Business Phone Number: | 3129150374 |
| Business Fax Number: | 3129150374 |
| Mailing Address: | 422 N. Scoville Avenue, OAK PARK |
| State: | IL |
| Postal Code: | 60302 |
| Phone Number: | 7086135824 |
| Fax Number: | 7086135824 |
| NPI Enumeration Date: | 02/10/2007 |
| NPI Last Update Date: | 07/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146-005994 |
| 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 |