Provider Demographics
NPI:1093335234
Name:LYNNE-GUISTICS, INC
Entity Type:Organization
Organization Name:LYNNE-GUISTICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEY
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:630-204-9611
Mailing Address - Street 1:21 COUNCIL AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-9307
Mailing Address - Country:US
Mailing Address - Phone:630-204-9611
Mailing Address - Fax:
Practice Address - Street 1:21 COUNCIL AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60503-9307
Practice Address - Country:US
Practice Address - Phone:630-204-9611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech