Individual
JENNY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 E MAIN ST, ALHAMBRA, IL 62001-3046
(618) 488-2516
Mailing address
95 QUAIL DR E, HIGHLAND, IL 62249-3074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146009969
IL
Other
Enumeration date
08/16/2017
Last updated
07/08/2022
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