NPI 1003056193

Archie Rininta Ronauli Soelaeman, MACFSLP

Practitioner Speech-Language Pathologist Countryside, IL

Practice location

Address: 9649 W 55th St, Countryside, IL 60525-3632
Phone: (708) 352-3580
Fax: (708) 352-9728

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 242.001095 (IL)

Other Speech-Language Pathologist providers in Illinois →

Registry record

NPI: 1003056193
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Mar 2009
Record last updated: 20 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.