Individual
JACLYN NICOLE BUHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COMMERCE DR, CRYSTAL LAKE, IL 60014-3503
(708) 699-9569
Mailing address
4842 BODE LN, MCHENRY, IL 60050-6601
(708) 699-9569
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.011764
IL
235Z00000X
Speech-Language Pathologist
SLP7243
NM
235Z00000X
Speech-Language Pathologist
SP30712
CA
235Z00000X
Speech-Language Pathologist
—
IL
Other
Enumeration date
07/20/2020
Last updated
09/24/2020
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