Individual
JOHN LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 S ILLINOIS AVE, LITCHFIELD, IL 62056-2716
(217) 324-2153
Mailing address
628 S ILLINOIS AVE, LITCHFIELD, IL 62056-2716
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006498
IL
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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