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Individual

MR. JONATHAN LOVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCC-SLP

Contact information

Practice address
17070 S PARK AVE, OLIVIA'S PLACE, SOUTH HOLLAND, IL 60473-3389
(708) 825-1116
(708) 825-1268
Mailing address
6941 S CRANDON AVE, CHICAGO, IL 60649-1715
(312) 933-0127
(708) 825-1268

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.008354
IL

Other

Enumeration date
12/05/2006
Last updated
04/01/2016
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