Most Relevant Information
Provider Data
| NPI Number: | 1003424847 |
| Provider Name: | CARLY WHITING SIEBER CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2020 |
| Last Updated: | 10/22/2021 |
Provider Practice Location
10 W. PHILLIP RD
SUITE 108
VERNON HILLS
IL
60061
Practice Location Phone/Fax
| Phone: | 8472754115 |
| Fax: |
Provider Mailing Location
1871 BUTTERNUT LANE
NORHTBROOK
IL
60062
Provider Mailing Phone/Fax
| Phone: | 8472754115 |
| Fax: |