Individual
JAMI FLEMING-KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
109 GREENVIEW CT, NORTH AURORA, IL 60542-8929
(815) 353-0707
Mailing address
109 GREENVIEW CT, NORTH AURORA, IL 60542-8929
(815) 353-0707
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146001561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01932023
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/02/2006
Last updated
12/08/2020
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