Individual
JESSICA LYNN WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
143 GARDEN ST, YORKVILLE, IL 60560-9197
(630) 553-8444
Mailing address
830 SHADOWBROOK CT, OSWEGO, IL 60543-5224
(630) 825-5002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.002576
IL
Other
Enumeration date
01/30/2013
Last updated
09/29/2023
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