Provider Demographics
NPI:1801472741
Name:MAGNANI, HOLLY L (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:HOLLY
Middle Name:L
Last Name:MAGNANI
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 1:9 E EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-3734
Mailing Address - Country:US
Mailing Address - Phone:224-213-4683
Mailing Address - Fax:
Practice Address - Street 1:1900 E KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1924
Practice Address - Country:US
Practice Address - Phone:847-297-4120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-22
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty