Maryellen Serritella

NPI 1063890317 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1063890317
Gender Female
Enumeration Date 05/07/2015
Last Updated 05/07/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
16170 S KINGSPORT RD
ORLAND PARK IL, 60467, US
Phone (708) 326-1550
Fax
Business Location
16170 S KINGSPORT RD
ORLAND PARK IL, 60467, US
Phone (708) 326-1550
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 146.010329
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According to our database, Maryellen Serritella NPI is 1063890317, taxonomy code is 235Z00000X and license number is 146.010329, license state is located at Illinois. Maryellen Serritella physically located at 16170 S Kingsport Rd, Orland Park IL, 60467. NPI Number Maryellen Serritella has the Individual type.

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1063890317 NPI number is provided on an as is basis without warranty of any kind. 1063890317 is maintained by the National Plan & Provider Enumeration System. The contents of Maryellen Serritella are for informational purposes only.