Banda, Pamela M

Banda, Pamela M is an sole proprietor health care provider with primary practice located at 11767 Winding Trails Drive , Willow Springs IL 60480-1619. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Banda, Pamela M can be contacted via phone (708) 839-9947.

Contact Information

Primary practice address
11767 Winding Trails Drive Willow Springs IL 60480-1619
Phone: (708) 839-9947
Fax: (708) 839-9947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146001363 Illinois

Profile Details

NPI number 1396892188
LBN Legal business name Banda, Pamela M
Credentials MSCCCSLPL
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Mar 7th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396892188 NPPES
Illinois Other 1628161 BLUE CROSS PROVIDER ID

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