Individual
MS. JANICE TUCKER SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC,SLP -L
Contact information
Practice address
9405 S HAMILTON AVE, CHICAGO, IL 60620-5614
(773) 445-1051
(773) 779-1520
Mailing address
9405 S HAMILTON AVE, CHICAGO, IL 60620-5614
(773) 445-1051
(773) 779-1520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146-0003191
IL
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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