Individual
JENNIFER EISENMENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
312 E FOREST AVE, WEST CHICAGO, IL 60185
(847) 980-1121
Mailing address
312 E FOREST AVE, WEST CHICAGO, IL 60185
(847) 980-1121
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146011849
IL
Other
Enumeration date
07/23/2014
Last updated
12/10/2024
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