Provider Demographics
NPI:1417312745
Name:RACHEL DOONAN PC DBA FIRST WORDS THERAPY
Entity Type:Organization
Organization Name:RACHEL DOONAN PC DBA FIRST WORDS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-785-4748
Mailing Address - Street 1:1237 KEMMAN AVE
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60526-1212
Mailing Address - Country:US
Mailing Address - Phone:708-785-4748
Mailing Address - Fax:708-579-1885
Practice Address - Street 1:1237 KEMMAN AVE
Practice Address - Street 2:
Practice Address - City:LA GRANGE PARK
Practice Address - State:IL
Practice Address - Zip Code:60526-1212
Practice Address - Country:US
Practice Address - Phone:708-785-4748
Practice Address - Fax:708-579-1885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty