Individual
JACKIE A MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. SLP
Contact information
Practice address
6726 FIELDSTONE DR, BURR RIDGE, IL 60527-5297
(630) 321-1744
Mailing address
1111 NEEDHAM RD, NAPERVILLE, IL 60563-3314
(630) 363-0144
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
04/21/2011
Last updated
05/11/2011
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