Individual
JILL WACHTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4021 N SOUTHPORT AVE # 2, CHICAGO, IL 60613-1908
(847) 507-6928
Mailing address
4021 N SOUTHPORT AVE # 2, CHICAGO, IL 60613-1908
(847) 507-6928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006323
IL
Other
Enumeration date
03/27/2007
Last updated
12/28/2009
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