Daniela R. Garcia

Individual provider Active NPI Speech-Language Assistant · Countryside, IL

NPI 1154847846 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1154847846
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
217000380 (IL)
Practice address
5 Elm St
Countryside, IL 60525-4112
Phone
(708) 368-9161
NPI assigned
Aug 15, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
217000380ILMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 217000380 IL Yes

Addresses

Primary practice location

5 Elm St
Countryside, IL 60525-4112

Mailing address

5 Elm St
Countryside, IL 60525-4112
Phone (708) 368-9161

Other providers in Countryside, IL

All providers in Countryside, IL · Speech-Language Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.