Provider Demographics
NPI:1013423854
Name:CONTOIS, PAULA CHRISTINE
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:CHRISTINE
Last Name:CONTOIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6550 PONTIAC DR
Mailing Address - Street 2:
Mailing Address - City:INDIAN HEAD PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60525-4349
Mailing Address - Country:US
Mailing Address - Phone:630-310-4575
Mailing Address - Fax:
Practice Address - Street 1:325 N PARK RD
Practice Address - Street 2:
Practice Address - City:LA GRANGE PARK
Practice Address - State:IL
Practice Address - Zip Code:60526-1802
Practice Address - Country:US
Practice Address - Phone:708-482-3003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-15
Last Update Date:2017-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
146.005682235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist