Individual
JEANNINE STUPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5002 MAIN ST, SUITE 4, DOWNERS GROVE, IL 60515-3659
(630) 929-0122
Mailing address
5002 MAIN ST, SUITE 4, DOWNERS GROVE, IL 60515-3659
(630) 929-0122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012547
IL
235Z00000X
Speech-Language Pathologist
SP 19031
CA
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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