Basic Information
| Provider Information | |||||||||
| NPI: | 1023153764 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BARNES-MAGUIRE | ||||||||
| FirstName: | DIANE | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 325 PRAIRIE ST | ||||||||
| Address2: | |||||||||
| City: | MANHATTAN | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604429132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8154787022 | ||||||||
| FaxNumber: | 8154789822 | ||||||||
| Practice Location | |||||||||
| Address1: | 350 HOUBOLT RD | ||||||||
| Address2: | |||||||||
| City: | JOLIET | ||||||||
| State: | IL | ||||||||
| PostalCode: | 604318305 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8157259992 | ||||||||
| FaxNumber: | 8157259993 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | IL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.