NPI 1003147968

Traci Lynn Tague, MACCCSLP

Practitioner Speech-Language Pathologist Oak Lawn, IL

Practice location

Address: 4440 W 95th St, Oak Lawn, IL 60453-2600
Phone: (708) 684-1989
Mailing address: 1218 W Wrightwood Ave Unit G, Chicago, IL 60614-1224

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 146.008233 (IL)

Other Speech-Language Pathologist providers in Illinois →

Registry record

NPI: 1003147968
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2010
Record last updated: 15 Jan 2010

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.