Individual
JENNA NADINE VANDUYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
676 N SAINT CLAIR ST STE 1775, CHICAGO, IL 60611-2834
(312) 926-3705
Mailing address
676 N SAINT CLAIR ST STE 1775, CHICAGO, IL 60611-2834
(312) 926-3705
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.014432
IL
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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