Pruvost, Jill Anne

Pruvost, Jill Anne is an individual health care provider with primary practice located at 7301 N Knoxville Ave , Peoria IL 61614-2017. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Pruvost, Jill Anne can be contacted via phone (309) 589-5900.

Contact Information

Primary practice address
7301 N Knoxville Ave Peoria IL 61614-2017
Phone: (309) 589-5900
Fax: (309) 683-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147.001201 Illinois

Profile Details

NPI number 1366456527
LBN Legal business name Pruvost, Jill Anne
Credentials M.S., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Dec 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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