Individual
JILL MARIE WAEGENAERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
241 GOLF MILL CTR, SUITE 201, NILES, IL 60714-1224
(847) 699-9757
Mailing address
1649 N SEDGWICK ST, CHICAGO, IL 60614-5745
(517) 896-3228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
01/10/2007
Last updated
07/08/2007
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