Provider Demographics
NPI:1497926026
Name:HUMMEL, EMILY
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:HUMMEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1554 YELLOWSTONE DR
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107-3394
Mailing Address - Country:US
Mailing Address - Phone:847-714-6316
Mailing Address - Fax:630-497-1043
Practice Address - Street 1:1554 YELLOWSTONE DR
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107-3394
Practice Address - Country:US
Practice Address - Phone:847-714-6316
Practice Address - Fax:630-497-1043
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2010-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146009308235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist