Tracey Ivan
Tracey Ivan is a Speech-Language Pathologist in Joliet, Illinois. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
401 N Larkin AveJoliet, IL 60435-6606
Phone: (815) 774-6561
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Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X |
|---|
Record details
| NPI number | 1164149555 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 26, 2022 |
| Last updated in NPPES | October 26, 2022 |
| Certification date | October 26, 2022 |
| Mailing address | 401 N Larkin Ave, Joliet, IL 60435-6606 |
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