Provider Demographics
NPI:1467821652
Name:PARETZKY, RUTH (MA, SLP, CCC)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:PARETZKY
Suffix:
Gender:F
Credentials:MA, SLP, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1742
Mailing Address - Country:US
Mailing Address - Phone:847-525-9491
Mailing Address - Fax:
Practice Address - Street 1:3605 DAVIS ST
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1742
Practice Address - Country:US
Practice Address - Phone:847-525-9491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-18
Last Update Date:2019-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146011719235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist