Organization
TIS CHALLENGING SPEECH
Active
Other names
Jeanne Byers Spraetz
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE RANE BYERS SPRAETZ MA CCC SLP (SPEECH PATHOLOGIST ADMIN)
(815) 541-1857
Entity
Organization
Contact information
Practice address
1706 SUPERIOR AVE, SAVANNA, IL 61074-2424
(815) 541-1857
(815) 273-4354
Mailing address
1706 SUPERIOR AVE, SAVANNA, IL 61074-2424
(815) 541-1857
(561) 994-9240
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
686816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146589
MEDICARE OTHER
IL
05
—
346488095
—
IL
05
—
890410300
—
FL
Enumeration date
02/24/2006
Last updated
07/09/2008
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