Shackelford, Jill K.

Shackelford, Jill K. is an sole proprietor health care provider with primary practice located at 40W310 Lafox Rd Suite 1A, St Charles IL 60175-6588. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Shackelford, Jill K. can be contacted via phone (630) 444-0077.

Contact Information

Primary practice address
40W310 Lafox Rd Suite 1A St Charles IL 60175-6588
Phone: (630) 444-0077
Fax: (630) 444-0078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146006263 Illinois

Profile Details

NPI number 1215086814
LBN Legal business name Shackelford, Jill K.
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Nov 6th, 2013 - about 12 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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