Provider Demographics
NPI:1073698825
Name:ORMSBY, PATRICIA MARY (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:MARY
Last Name:ORMSBY
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3434 N SOUTHPORT AVE
Mailing Address - Street 2:UNIT 4
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-1420
Mailing Address - Country:US
Mailing Address - Phone:773-317-7788
Mailing Address - Fax:773-404-4504
Practice Address - Street 1:3434 N SOUTHPORT AVE
Practice Address - Street 2:UNIT 4
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-1420
Practice Address - Country:US
Practice Address - Phone:773-317-7788
Practice Address - Fax:773-404-4504
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
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