Doctor Name: | MS. CHRISTINE CORL |
NPI Number: | 1538385802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | |
Business Practice Address: | 660 N Westmoreland Rd Suite 900 Ll-78 Lake Forest, IL - 600451659 |
Business Phone Number: | 8475356870 |
Business Fax Number: | 8475357847 |
Mailing Address: | 453 W Webster Ave Apt 4, CHICAGO |
State: | IL |
Postal Code: | 606143805 |
Phone Number: | 8453255888 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |