Individual
KIM MEINKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 E STATE ST, SYCAMORE, IL 60178-9502
(815) 219-3040
Mailing address
304 PERRY CT, SYCAMORE, IL 60178-3014
(815) 219-3040
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
217000333
IL
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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