Jacquelyn Marie Shannon M.S. SLP

NPI 1073868626 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1073868626
Gender Female
Enumeration Date 07/19/2012
Last Updated 07/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
1049 E WILSON ST
SUITE 100
BATAVIA IL, 60510-2474, US
Phone (630) 715-0199
Fax
Business Location
1049 E WILSON ST
SUITE 100
BATAVIA IL, 60510-2474, US
Phone (630) 715-0199
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Illinois
License Number 242002313
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According to our database, Miss Jacquelyn Marie Shannon M.S. SLP NPI is 1073868626, taxonomy code is 235Z00000X and license number is 242002313, license state is located at Illinois. Jacquelyn Marie Shannon M.S. SLP physically located at 1049 E Wilson St, Batavia IL, 60510-2474. NPI Number Jacquelyn Marie Shannon M.S. SLP has the Individual type.

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1073868626 NPI number is provided on an as is basis without warranty of any kind. 1073868626 is maintained by the National Plan & Provider Enumeration System. The contents of Jacquelyn Marie Shannon M.S. SLP are for informational purposes only.