Provider Demographics
NPI:1942948450
Name:ARREDONDO, LIANA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:LIANA
Middle Name:
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7513 W FULLERTON AVE APT 1S
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60707-2596
Mailing Address - Country:US
Mailing Address - Phone:847-207-5010
Mailing Address - Fax:
Practice Address - Street 1:2011 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-1368
Practice Address - Country:US
Practice Address - Phone:630-625-8494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-24
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.016561235Z00000X
242006419235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist