Doctor Name: | JOAN HELENE RADEKE DANNACHER |
NPI Number: | 1558559591 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP, RD/LDN |
License Number: | 146003788 |
Business Practice Address: | 106 Ann St Clarendon Hills, IL - 605141452 |
Business Phone Number: | 6309268307 |
Business Fax Number: | 6307892870 |
Mailing Address: | 106 Ann St, CLARENDON HILLS |
State: | IL |
Postal Code: | 605141452 |
Phone Number: | 6309268307 |
Fax Number: | 6307892870 |
NPI Enumeration Date: | 10/03/2007 |
NPI Last Update Date: | 11/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146003788 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |