Individual
JOHN PAUL NILSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP/L
Contact information
Practice address
1049 E WILSON ST, SUITE 100, BATAVIA, IL 60510-2474
(630) 761-0900
Mailing address
1049 E WILSON ST, SUITE 100, BATAVIA, IL 60510-2474
(630) 761-0900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242001775
IL
Other
Enumeration date
12/30/2010
Last updated
05/22/2013
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