Basic Information
| Provider Information | |||||||||
| NPI: | 1356648091 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DLHY | ||||||||
| FirstName: | PAMELA | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | M.A.,C.C.C.SLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1976 CHESHIRE LN | ||||||||
| Address2: | |||||||||
| City: | WHEATON | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601898514 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6306685102 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3703 W LAKE AVE | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | GLENVIEW | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600265823 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8479981188 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/15/2011 | ||||||||
| LastUpdateDate: | 02/15/2011 | ||||||||
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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 | 146.001082 | IL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.