Individual
JESSICA HURRELBRINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9539 US HIGHWAY 40, SAINT JACOB, IL 62281-1309
(618) 667-5406
Mailing address
9539 US HIGHWAY 40, SAINT JACOB, IL 62281-1309
(618) 667-5406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242006154
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
242.006454
PROFESSIONAL LICENSE
IL
Enumeration date
01/26/2022
Last updated
08/21/2024
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