Provider Demographics
NPI:1518743566
Name:DUARTE, GABRIELA HOPE (CF, SLP)
Entity Type:Individual
Prefix:
First Name:GABRIELA
Middle Name:HOPE
Last Name:DUARTE
Suffix:
Gender:F
Credentials:CF, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:536 W ARLINGTON PL APT 217
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-5982
Mailing Address - Country:US
Mailing Address - Phone:302-540-9709
Mailing Address - Fax:
Practice Address - Street 1:1600 DUNDEE AVE
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60120-1608
Practice Address - Country:US
Practice Address - Phone:630-883-5013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-06
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242.007142235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist