Most Relevant Information
Provider Data
| NPI Number: | 1003258476 |
| Provider Name: | KAY RUTHERFORD SLPA |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 217000292 |
Most Important Dates
| Enumeration Date: | 07/25/2013 |
| Last Updated: | 07/25/2013 |
Provider Practice Location
5028 N SPRINGFIELD AVE
3W
CHICAGO
IL
606253194
Practice Location Phone/Fax
| Phone: | 7732674692 |
| Fax: |
Provider Mailing Location
5028 N SPRINGFIELD AVE
3W
CHICAGO
IL
606253194
Provider Mailing Phone/Fax
| Phone: | 7732674692 |
| Fax: |