Individual
MRS. JILL M THENNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCCSLPL
Contact information
Practice address
5820 W IRVING PARK RD, CHICAGO, IL 60634
(773) 685-8482
Mailing address
1568 NEW HAVEN DR, CARY, IL 60013-1818
(847) 639-1791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146007654
IL
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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