Provider Demographics
NPI:1932612942
Name:ZANONI, EMILY (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:
Last Name:ZANONI
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:CRISCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12 MARGATE CT
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-1726
Mailing Address - Country:US
Mailing Address - Phone:262-955-5265
Mailing Address - Fax:
Practice Address - Street 1:2000 BELLE PLAINE AVE
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5571
Practice Address - Country:US
Practice Address - Phone:847-505-1656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146012331235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist