Individual
JENNIFER NIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
55 ASCOT LN, AURORA, IL 60504-3220
(630) 499-9619
Mailing address
55 ASCOT LN, AURORA, IL 60504-3220
(630) 499-9619
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232270
BCBS IL PROVIDER NUMBER
IL
Enumeration date
03/16/2007
Last updated
07/08/2007
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