Individual
JESSICA MARIE LUITEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
830 S ADDISON AVE, VILLA PARK, IL 60181-2877
(630) 620-4433
Mailing address
7031 N PATTON LN, PEORIA, IL 61614-1918
(309) 369-1157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.006708
IL
Other
Enumeration date
06/24/2022
Last updated
06/27/2022
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