NPI 1194265124 · live from the CMS NPI Registry
Edwige Charles
Speech-Language Pathologist, in South Holland, IL. National Provider Identifier 1194265124, active.
NPI record
| NPI | 1194265124 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 15206 Naughton Dr, South Holland, IL 60473 |
| Practice phone | 708-299-9714 |
| Mailing address | 680 Rhode Island Ave Ne, Suite I, Washington, DC 20002 |
| Enumerated | February 23, 2017 |
| Last updated | August 2, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | SLP001072 (DC) |
| Speech-Language Pathologist, primary | 235Z00000X | 146015176 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.