Individual
JAYCI STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3101 CONSTITUTION DR STE 102, SPRINGFIELD, IL 62704-6728
(217) 500-8203
Mailing address
3221 GERMAN RD, WAVERLY, IL 62692-6069
(217) 473-7078
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242008571
IL
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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