Individual
MS. JODI L. MCFALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ANCHOR RD, DIXON, IL 61021-8829
(815) 288-6691
Mailing address
5354 S FREEPORT RD, POLO, IL 61064-9748
(815) 590-6063
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
146008250
IL
Other
Enumeration date
01/14/2011
Last updated
01/13/2020
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