Provider Demographics
NPI:1063653822
Name:BALDWIN, RHONDA LEVORA (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:RHONDA
Middle Name:LEVORA
Last Name:BALDWIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1203 DEERFIELD PKWY APT 203
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-4592
Mailing Address - Country:US
Mailing Address - Phone:224-676-0310
Mailing Address - Fax:
Practice Address - Street 1:1203 DEERFIELD PKWY APT 203
Practice Address - Street 2:
Practice Address - City:BUFFALO GROVE
Practice Address - State:IL
Practice Address - Zip Code:60089-4592
Practice Address - Country:US
Practice Address - Phone:224-676-0310
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-09
Last Update Date:2009-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-000182235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist