Individual
MRS. JANE M YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1019 CONCORD PL, DARIEN, IL 60561-5124
(331) 481-4010
(331) 481-4011
Mailing address
1019 CONCORD PL, DARIEN, IL 60561-5124
(331) 481-4010
(331) 481-4011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.002961
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01022445
AMERICAN SPEECH LANGUAGE HEARING ASSOC.
—
01
—
146.002961
IL DEPT. OF FINANCIAL & PROFESSIONAL REGISTRATION
IL
Enumeration date
12/05/2017
Last updated
12/05/2017
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