Provider Demographics
NPI:1063847309
Name:LATURNO, BRITTNEY (CF-SLP)
Entity Type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:
Last Name:LATURNO
Suffix:
Gender:F
Credentials:CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3201 N WOLCOTT AVE
Mailing Address - Street 2:UNIT 2B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-2075
Mailing Address - Country:US
Mailing Address - Phone:847-370-8450
Mailing Address - Fax:773-348-2073
Practice Address - Street 1:3201 N WOLCOTT AVE
Practice Address - Street 2:UNIT 2B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-2075
Practice Address - Country:US
Practice Address - Phone:847-370-8450
Practice Address - Fax:773-348-2073
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242002888235Z00000X
IL146012458235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist