Provider Demographics
NPI:1134282809
Name:CAPP, FRANCESCA (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:FRANCESCA
Middle Name:
Last Name:CAPP
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 1:354 CLUBHOUSE ST
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-2119
Mailing Address - Country:US
Mailing Address - Phone:630-759-2472
Mailing Address - Fax:
Practice Address - Street 1:354 CLUBHOUSE ST
Practice Address - Street 2:
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60490-2119
Practice Address - Country:US
Practice Address - Phone:630-759-2472
Practice Address - Fax:630-839-9709
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146007888235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist