Individual
JILL M MATHENIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1496 ILLINOIS ROUTE 121, TOLEDO, IL 62468-4214
(217) 923-3135
Mailing address
1496 ILLINOIS ROUTE 121, TOLEDO, IL 62468-4214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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