Doctor Name: | MR. MICHAEL JAMES COLE |
NPI Number: | 1437454949 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 146.008792 |
Business Practice Address: | 3187 Village Green Dr Aurora, IL - 605047200 |
Business Phone Number: | 6302967377 |
Business Fax Number: | |
Mailing Address: | 3187 Village Green Dr, AURORA |
State: | IL |
Postal Code: | 605047200 |
Phone Number: | 6309017167 |
Fax Number: | |
NPI Enumeration Date: | 01/13/2011 |
NPI Last Update Date: | 12/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.008792 |
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 |