Individual
MRS. JORDAN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP, LBS-1
Contact information
Practice address
42 W MADISON ST, CHICAGO, IL 60602-4309
(773) 553-1000
Mailing address
42 W MADISON ST, CHICAGO, IL 60602-4309
(773) 553-1000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242001483
IL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
897511
ISBE
IL
Enumeration date
02/25/2010
Last updated
03/17/2018
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