Organization
TIS CHALLENGING SPEECH
Active
Other names
Jeanne Byers Spraetz
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE RANE BYERS SPRAETZ MA CCC SLP (SPEECH PATHOLOGIST)
(561) 212-7490
Entity
Organization
Contact information
Practice address
1706 SUPERIOR AVE, SAVANNA, IL 61074
(815) 273-4354
Mailing address
1706 SUPERIOR AVE, SAVANNA, IL 61074
(815) 273-4354
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346488095001
—
IL
Enumeration date
02/24/2006
Last updated
08/07/2008
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