Individual
MRS. JILL BERGSTROM COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
434 N MAIN ST, WINCHESTER, IL 62694-1162
(217) 742-9569
Mailing address
434 N MAIN ST, WINCHESTER, IL 62694-1162
(217) 742-9569
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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