Individual
MRS. JEANETTE DORIT PACANOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
525 TYLER RD STE Q1, ST CHARLES, IL 60174-3360
(630) 444-0077
(630) 444-0078
Mailing address
525 TYLER RD STE Q1, ST CHARLES, IL 60174-3360
(630) 444-0077
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242004088
IL
Other
Enumeration date
08/11/2016
Last updated
01/07/2021
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