SearchIllinois235Z00000X

Marin Blake, CCC-SLP

NPI 1194856674 · on the registry since 2007 · sole proprietor

Practice

Address
1459 N Bosworth Ave
Apt 3f
Chicago, IL 60622
Phone
(617) 501-5851

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
2007-07-08

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