Individual
JACLYN DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6501 S PROMONTORY DR # 1003, CHICAGO, IL 60649-1002
(773) 363-6700
(888) 765-4321
Mailing address
1737 N PAULINA ST APT 103, CHICAGO, IL 60622-1462
(847) 363-2371
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013776
IL
Other
Enumeration date
07/11/2016
Last updated
03/21/2022
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