Organization
LJ SPEECH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNSEY JACOBS M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(815) 404-7646
Entity
Organization
Contact information
Practice address
728 ELGIN ST, CHERRY VALLEY, IL 61016-9656
(815) 404-7646
Mailing address
728 ELGIN ST, CHERRY VALLEY, IL 61016-9656
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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