Individual
JILL LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16302 BASE LINE RD, GENOA, IL 60135-7600
(630) 310-4060
Mailing address
16302 BASE LINE RD, GENOA, IL 60135-7600
(630) 310-4060
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010817
IL
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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