Individual
TREACIE GILL JELKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 LINCOLN HWY, MATTESON, IL 60443-2316
(708) 570-1665
Mailing address
2521 WEST 21 AVENUE, GARY, IN 46404-2904
(219) 949-6501
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
29001424A
IN
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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