Individual
JEAN PATRICE SUTHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
5318 135TH ST, CRESTWOOD, IL 60418-1504
(708) 389-9955
Mailing address
11035 S SPAULDING AVE, CHICAGO, IL 60655-2725
(773) 490-7413
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010219
IL
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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