Provider Demographics
NPI:1831303478
Name:MIGDAL, SARAH JUDITH (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:JUDITH
Last Name:MIGDAL
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:939 W HURON ST
Mailing Address - Street 2:APT. 301
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-5992
Mailing Address - Country:US
Mailing Address - Phone:847-420-5745
Mailing Address - Fax:
Practice Address - Street 1:939 W HURON ST
Practice Address - Street 2:APT. 301
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-5992
Practice Address - Country:US
Practice Address - Phone:847-420-5745
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2008-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist