Individual
JACLYN AMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP/L
Contact information
Practice address
1019 E CHICAGO ST, ELGIN, IL 60120-6822
(847) 429-6131
Mailing address
1258 DUNAMON DR, BARTLETT, IL 60103-1949
(847) 533-4723
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146008593
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235Z00000X
SPEECH PATHOLOGIST
IL
Enumeration date
03/20/2007
Last updated
09/15/2009
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