Individual
MISS JESSICA SUZANNE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
180 HANSEN CT, WOOD DALE, IL 60191-1121
(630) 595-8200
(630) 595-8282
Mailing address
180 HANSEN CT, WOOD DALE, IL 60191-1121
(630) 595-8200
(630) 595-8282
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
242004127
IL
Other
Enumeration date
08/19/2016
Last updated
08/19/2016
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