Individual
JILL ANNE PRUVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
7301 N KNOXVILLE AVE, PEORIA, IL 61614-2017
(309) 589-5900
(309) 683-4120
Mailing address
7301 N KNOXVILLE AVE, PEORIA, IL 61614-2017
(309) 589-5900
(309) 683-4120
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001201
IL
Other
Enumeration date
07/27/2006
Last updated
07/24/2025
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