Provider Demographics
NPI:1073617510
Name:TOROK, ESTELLE A (MS CCC)
Entity Type:Individual
Prefix:MS
First Name:ESTELLE
Middle Name:A
Last Name:TOROK
Suffix:
Gender:F
Credentials:MS CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5513 ELIZABETH PL
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-3843
Mailing Address - Country:US
Mailing Address - Phone:847-788-1202
Mailing Address - Fax:
Practice Address - Street 1:5513 ELIZABETH PL
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-3843
Practice Address - Country:US
Practice Address - Phone:847-788-1202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist