Provider Demographics
NPI:1851518468
Name:ABRAMS, WENDY C (MA,)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:C
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:MA,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 CARLISLE AVE
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4505
Mailing Address - Country:US
Mailing Address - Phone:847-914-9290
Mailing Address - Fax:847-914-9291
Practice Address - Street 1:1893 SHERIDAN RD
Practice Address - Street 2:SUITE 303
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-2628
Practice Address - Country:US
Practice Address - Phone:847-433-1331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist