Most Relevant Information
Provider Data
| NPI Number: | 1003047895 |
| Provider Name: | NIKKI MINER MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146009567 |
Most Important Dates
| Enumeration Date: | 07/28/2009 |
| Last Updated: | 07/28/2009 |
Provider Practice Location
1206 W HENDERSON ST # 2S
CHICAGO
IL
606571491
Practice Location Phone/Fax
| Phone: | 8477081116 |
| Fax: |
Provider Mailing Location
1206 W HENDERSON ST # 2S
CHICAGO
IL
606571491
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |