Individual
JESSICA LYNN POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17845 HENRY ST, LANSING, IL 60438-2357
(708) 474-4320
Mailing address
10627 S SPAULDING AVE, CHICAGO, IL 60655-2519
(773) 766-7693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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