Individual
JENNIFER LYNN RODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
13341 WESTGATE CT, ORLAND PARK, IL 60462-1467
(708) 567-6743
Mailing address
13341 WESTGATE CT, ORLAND PARK, IL 60462-1467
(708) 567-6743
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.010231
IL
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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