Individual
JACLYN JANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
905 N MAPLE ST, EFFINGHAM, IL 62401
(217) 347-7077
(217) 347-7197
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4653
(217) 258-2581
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001570
IL
Other
Enumeration date
08/27/2015
Last updated
07/12/2021
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