Most Relevant Information
Provider Data
| NPI Number: | 1003025917 |
| Provider Name: | GWENDOLYN SUE JULIAN SPEECH PATHOLOGIST |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/21/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1652 N LOCKWOOD AVE
CHICAGO
IL
606394306
Practice Location Phone/Fax
| Phone: | 7738362393 |
| Fax: | 7738360110 |
Provider Mailing Location
PO BOX 39182
CHICAGO
IL
606390182
Provider Mailing Phone/Fax
| Phone: | 7738362393 |
| Fax: | 7738360110 |