Individual
JENNIFER ANNE MIDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4022 W NEWPORT AVE, CHICAGO, IL 60641-4021
(312) 685-1795
(312) 500-5039
Mailing address
350 W OAKDALE AVE APT 801, CHICAGO, IL 60657-5627
(513) 560-6216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/13/2025
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