Provider Demographics
NPI:1437975893
Name:VOOS, HALLE CECILIA (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:HALLE
Middle Name:CECILIA
Last Name:VOOS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 W THORNDALE AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-5772
Mailing Address - Country:US
Mailing Address - Phone:443-473-3429
Mailing Address - Fax:
Practice Address - Street 1:123 WASHINGTON CIR
Practice Address - Street 2:
Practice Address - City:LAKE FOREST
Practice Address - State:IL
Practice Address - Zip Code:60045-2455
Practice Address - Country:US
Practice Address - Phone:847-461-3053
Practice Address - Fax:224-706-1131
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.017777235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist