Provider Demographics
NPI:1548580723
Name:QUIROGA, CYNTHIA AIDA (SPEECH PATHOLOGIST)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:AIDA
Last Name:QUIROGA
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:151 W WING ST
Mailing Address - Street 2:UNIT 602
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-5813
Mailing Address - Country:US
Mailing Address - Phone:847-508-3827
Mailing Address - Fax:
Practice Address - Street 1:2901 FINLEY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-1041
Practice Address - Country:US
Practice Address - Phone:630-495-6800
Practice Address - Fax:630-495-8200
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009112235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist