NPI 1538536388 MISS JUSTINE MARGARET DISTEFANO M.ED. SAINT CHARLES IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Miss Justine Margaret Distefano - NPI: 1538536388

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MISS JUSTINE MARGARET DISTEFANO
NPI Number: 1538536388
Entity Type Code: Individual (1)
Gender: F
Credentials: M.ED.
License Number:
Business Practice Address: 124 Lakeside Dr
Apt #526 Saint Charles, IL - 601747910
Business Phone Number: 7164008109
Business Fax Number:
Mailing Address: 124 Lakeside Dr, Apt #526
SAINT CHARLES
State: IL
Postal Code: 601747910
Phone Number: 7164008109
Fax Number:
NPI Enumeration Date: 08/27/2015
NPI Last Update Date: 08/27/2015
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


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