Cynthia Provost, MHS, CCC, SLP/L

NPI 1023366036 · on the registry since 2012

Practice

Address: 400 S Kennedy Dr
Suite 600
Bradley, IL 60915
Phone: (815) 935-7496
Fax: (815) 935-7860
Organisation at this address: Hassan H Youssef Md Sc
Riverside Medical Center
Orthopedic Associates Of Kankakee
Ryan Center For Hand Therapy, P.C.
Riverside Corporate Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 52

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois