Individual
JEFFREY MEDEMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ST
Contact information
Practice address
24588 CHURCH ST, CHENOA, IL 61726-9395
(309) 747-3652
(309) 747-2050
Mailing address
24588 CHURCH ST, CHENOA, IL 61726-9395
(309) 747-3652
(309) 747-2050
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010478
IL
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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