Individual
JESSICA KNAPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 N WOLF RD, NORTHLAKE, IL 60164-1650
(708) 562-0040
Mailing address
911 S 3RD ST, NILES, MI 49120-3414
(269) 687-8962
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.005138
IL
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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