Individual
JENNIFER LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, CCC/SLP
Contact information
Practice address
7260 W NORTH AVE, FRANKFORT, IL 60423-9354
(815) 469-4330
Mailing address
7260 W NORTH AVE, FRANKFORT, IL 60423-9354
(815) 469-4330
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146004600
IL
Other
Enumeration date
11/16/2017
Last updated
11/16/2017
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