| Doctor Name: | MS. NICOLA MELEEN-HOMENOCK LEVINE |
| NPI Number: | 1437283371 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC-SLP |
| License Number: | 146.007243 |
| Business Practice Address: | 6705 Kingery Hwy Willowbrook, IL - 605275142 |
| Business Phone Number: | 6303886700 |
| Business Fax Number: | |
| Mailing Address: | 2151 W Roscoe St Apt 3e, CHICAGO |
| State: | IL |
| Postal Code: | 606186267 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 03/15/2007 |
| NPI Last Update Date: | 04/25/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 146.007243 |
| 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 |