Individual
JILL SUZANNE CHLEBUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
509 S LEWIS ST, BLUE MOUND, IL 62513-9740
(217) 692-2535
Mailing address
PO BOX 350, BLUE MOUND, IL 62513-0350
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.007847
IL
Other
Enumeration date
09/27/2017
Last updated
09/27/2017
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