Provider Demographics
NPI:1194730507
Name:HURWITZ, ROSALIND CLAIRE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ROSALIND
Middle Name:CLAIRE
Last Name:HURWITZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4346 N WINCHESTER AVE
Mailing Address - Street 2:APT 1E
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-1028
Mailing Address - Country:US
Mailing Address - Phone:773-520-1166
Mailing Address - Fax:773-528-7428
Practice Address - Street 1:4346 N WINCHESTER AVE
Practice Address - Street 2:APT 1E
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-1028
Practice Address - Country:US
Practice Address - Phone:773-520-1166
Practice Address - Fax:773-528-7428
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist