Individual
JILL R RECOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2351 BROADWAY ST, PEKIN, IL 61554-3972
(309) 353-5940
(309) 353-1654
Mailing address
2351 BROADWAY ST, PEKIN, IL 61554-3972
(309) 353-5940
(309) 353-1654
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146010529
IL
Other
Enumeration date
12/14/2010
Last updated
07/11/2011
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