IndividualActive
Deborah Provenzano, SLPA
NPI 1164548376 · Speech-Language Assistant · Chicago, IL
Provider details
- NPI number
- 1164548376
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Credential
- SLPA
- Sex
- Female
- Sole proprietor
- No
Practice location
9736 S Hamilton Ave
Chicago, IL 60643-1644
Phone: (773) 343-8484
Fax: (773) 305-0954
Mailing address
9736 S Hamilton Ave
Chicago, IL 60643-1644
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.