Individual
JENNIFER NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP/L
Contact information
Practice address
6300 W 95TH ST, OAK LAWN, IL 60453-2256
(708) 599-8800
Mailing address
9138 S SPRINGFIELD AVE, EVERGREEN PARK, IL 60805-1458
(312) 480-7152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.009747
IL
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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