Provider Demographics
NPI:1457469652
Name:FLANIGAN, NANCY LYNN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:LYNN
Last Name:FLANIGAN
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 1:2300 W SAINT PAUL AVE
Mailing Address - Street 2:UNIT 302
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5619
Mailing Address - Country:US
Mailing Address - Phone:773-227-1221
Mailing Address - Fax:
Practice Address - Street 1:2300 W SAINT PAUL AVE
Practice Address - Street 2:UNIT 302
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-5619
Practice Address - Country:US
Practice Address - Phone:773-227-1221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146006521235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist