Provider Demographics
NPI:1326689829
Name:FLYNN, TONI (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 N GREENVIEW AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-1768
Mailing Address - Country:US
Mailing Address - Phone:708-860-1013
Mailing Address - Fax:
Practice Address - Street 1:1250 N GREENVIEW AVE APT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-1768
Practice Address - Country:US
Practice Address - Phone:708-860-1013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-05
Last Update Date:2019-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist