Erica Griglione

Individual provider Active NPI Speech-Language Pathologist · Oglesby, IL

NPI 1912411802 · NPPES record last updated Nov 30, 2017

Key facts

NPI
1912411802
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
205 E 3Rd St
Oglesby, IL 61348-1527
Phone
(815) 343-9525
NPI assigned
Nov 30, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

205 E 3Rd St
Oglesby, IL 61348-1527

Mailing address

205 E 3Rd St
Oglesby, IL 61348-1527
Phone (815) 343-9525

Other providers in Oglesby, IL

All providers in Oglesby, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.