Provider Demographics
NPI:1750707444
Name:ALOISIO, VANESSA CHRISTINE (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:CHRISTINE
Last Name:ALOISIO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:VANESSA
Other - Middle Name:CHRISTINE
Other - Last Name:SPOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:2111 W CHURCHILL ST
Mailing Address - Street 2:APT 202
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5534
Mailing Address - Country:US
Mailing Address - Phone:651-354-7631
Mailing Address - Fax:
Practice Address - Street 1:2111 W CHURCHILL ST
Practice Address - Street 2:APT 202
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-5534
Practice Address - Country:US
Practice Address - Phone:651-354-7631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-05
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146010420235Z00000X
WALL60268385235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist