Provider Demographics
NPI:1154402758
Name:LOBASH, WENDY (MS)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:LOBASH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:LOBASH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS
Mailing Address - Street 1:3885 BLACKSTONE DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-5389
Mailing Address - Country:US
Mailing Address - Phone:630-585-5071
Mailing Address - Fax:
Practice Address - Street 1:1034 WARREN AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-3601
Practice Address - Country:US
Practice Address - Phone:630-852-7325
Practice Address - Fax:630-969-7841
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist