Doctor Name: | KIMBERY CHRISTINE RUSH |
NPI Number: | 1558685032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC/SLP |
License Number: | 146.007466 |
Business Practice Address: | 19550 Governors Hwy Flossmoor, IL - 604222125 |
Business Phone Number: | 7089158546 |
Business Fax Number: | 7089158585 |
Mailing Address: | 1036 Windfield Dr, MANTENO |
State: | IL |
Postal Code: | 609508000 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/26/2010 |
NPI Last Update Date: | 03/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146.007466 |
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 |