Provider Demographics
NPI:1003624842
Name:TORRES, DULCE CONSUELO (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DULCE
Middle Name:CONSUELO
Last Name:TORRES
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 1:140 FERNWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-2060
Mailing Address - Country:US
Mailing Address - Phone:630-777-0898
Mailing Address - Fax:
Practice Address - Street 1:507 W KENDALL DR STE 4
Practice Address - Street 2:
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-2041
Practice Address - Country:US
Practice Address - Phone:630-552-9890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL14359235235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist