Individual
JAKE MCCLINTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 CLARENDON HILLS RD, DARIEN, IL 60561-4288
(630) 468-4000
Mailing address
1520 S WASHINGTON AVE, PARK RIDGE, IL 60068-5439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.004626
IL
Other
Enumeration date
09/26/2017
Last updated
09/26/2017
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