Individual
JILL ELIZABETH KELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
404 S 5TH ST, SAINT JOSEPH, IL 61873-9073
(217) 469-2291
Mailing address
4102 BELMONT PT, CHAMPAIGN, IL 61822-3506
(217) 621-3458
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008666
IL
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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