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 |