Individual
MS. JACKLYN LOUISE DURNIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
818 E GRASS LAKE RD, LAKE VILLA, IL 60046-7470
(847) 838-8290
Mailing address
1084 TALBOT LN, GRAYSLAKE, IL 60030-1136
(847) 505-6443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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