(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003056193
Provider Name: ARCHIE RININTA RONAULI SOELAEMAN M.A. CF-SLP
Entity Type: Individual
Taxonomy Code: 235Z00000X
Specialty: Speech-Language Pathologist
License Number: 242.001095
Most Important Dates
Enumeration Date: 03/02/2009
Last Updated: 03/20/2009
Provider Practice Location
9649 W 55TH ST
COUNTRYSIDE
IL
605253632
Practice Location Phone/Fax
Phone: 7083523580
Fax: 7083529728
Provider Mailing Location
9649 W 55TH ST
COUNTRYSIDE
IL
605253632
Provider Mailing Phone/Fax
Phone: 7083523580
Fax: 7083529728