Individual
JEANINE WHEALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3700 W 103RD ST, DEPARTMENT OF COMMUNICATION SCIENCES AND DISORDERS, CHICAGO, IL 60655-3105
(773) 298-3571
Mailing address
3700 W 103RD ST, DEPARTMENT OF COMMUNICATION SCIENCES AND DISORDERS, CHICAGO, IL 60655-3105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6252799
IL
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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