Provider Demographics
NPI:1225164718
Name:WANG, EMILY Q (PHD, CCC-SLP)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:Q
Last Name:WANG
Suffix:
Gender:F
Credentials:PHD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:65 REGENT DR
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1745
Mailing Address - Country:US
Mailing Address - Phone:312-942-5332
Mailing Address - Fax:312-942-7211
Practice Address - Street 1:1653 W CONGRESS PKWY
Practice Address - Street 2:RUSH UNIVERSITY MEDICAL CENTER, SUITE 203 SENN
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3833
Practice Address - Country:US
Practice Address - Phone:312-942-5743
Practice Address - Fax:312-942-7211
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist