Individual
JILL BOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1201 S 6TH ST, MATTOON, IL 61938-5830
(217) 258-5286
(217) 663-2618
Mailing address
1201 S 6TH ST, MATTOON, IL 61938-5830
(217) 258-5286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.012610
IL
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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