Whalio Doctors

NPI 1144593880

Tammy L Petrovich, MS

Practitioner Speech-Language Pathologist Countryside, IL

Practice location

Address
7000 Golfview Dr, Countryside, IL 60525-4755
Phone
(630) 248-2253

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 242001885 (IL)

Registry record

NPI
1144593880
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Feb 2012
Record last updated
10 Feb 2012

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.