Individual
MRS. JESSICA J KINZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
850 HIGHVIEW DR, ANTIOCH, IL 60002-1141
(847) 838-8136
Mailing address
850 HIGHVIEW DR, ANTIOCH, IL 60002-1141
(478) 388-1368
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
146007976
IL
235Z00000X
Speech-Language Pathologist
Primary
1822985
IL
Other
Enumeration date
11/12/2007
Last updated
09/17/2020
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