Most Relevant Information
Provider Data
NPI Number: | 1003060476 |
Provider Name: | KATIE TEBRUGGE MS CCC SLP |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 146008914 |
Most Important Dates
Enumeration Date: | 11/11/2008 |
Last Updated: | 11/11/2008 |
Provider Practice Location
606 N MICHIGAN ST
ELMHURST
IL
601261934
Practice Location Phone/Fax
Phone: | 6305308551 |
Fax: | 6305305909 |
Provider Mailing Location
606 N MICHIGAN ST
ELMHURST
IL
601261934
Provider Mailing Phone/Fax
Phone: | 6305308551 |
Fax: | 6305305909 |