Individual
JESSICA LYNNE CHAMBLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7421 MADISON ST, FOREST PARK, IL 60130-1575
(815) 252-2543
Mailing address
522 8TH AVE, OTTAWA, IL 61350-4118
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146012657
IL
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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