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Organization
VILLAGE SPEECH THERAPY, PLLC
Active
Organization
VILLAGE SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNA BAINTER M.S., CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(815) 228-5786
Entity
Organization
Contact information
Practice address
11355 JASMINE DR, ROSCOE, IL 61073-9481
(815) 228-5786
Mailing address
11355 JASMINE DR, ROSCOE, IL 61073-9481
(815) 228-5786
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
05/14/2024
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