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Individual

JESSICA R BIELANSKI PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
5270 N LA CROSSE AVE, CHICAGO, IL 60630-1604
(773) 777-4285
Mailing address
5270 N LA CROSSE AVE, CHICAGO, IL 60630-1604
(773) 777-4285

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.007404
IL

Other

Enumeration date
03/12/2007
Last updated
04/30/2008
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