Provider Demographics
NPI:1306681911
Name:CHRISTINA ROSENGREN SPEECH THERAPY PLLC
Entity type:Organization
Organization Name:CHRISTINA ROSENGREN SPEECH THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENGREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-453-9286
Mailing Address - Street 1:7709 CRABTREE CT
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-2915
Mailing Address - Country:US
Mailing Address - Phone:630-453-9286
Mailing Address - Fax:
Practice Address - Street 1:7709 CRABTREE CT
Practice Address - Street 2:
Practice Address - City:WOODRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60517-2915
Practice Address - Country:US
Practice Address - Phone:630-453-9286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty