Individual
JANE MASTELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1507 N. GREEN ST #C, MCHENRY, IL 60050-4418
(773) 990-0067
Mailing address
1507 N. GREEN ST #C, MCHENRY, IL 60050-4418
(773) 990-0067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008422
IL
Other
Enumeration date
05/12/2015
Last updated
06/21/2018
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