Sullivan, Jaclyn Ann

Sullivan, Jaclyn Ann is an individual health care provider with primary practice located at 12910 S La Grange Rd , Palos Park IL 60464-1717. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Sullivan, Jaclyn Ann can be contacted via phone (708) 448-1234.

Contact Information

Primary practice address
12910 S La Grange Rd Palos Park IL 60464-1717
Phone: (708) 448-1234
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 2676 Illinois
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.011457 Illinois

Profile Details

NPI number 1700432424
LBN Legal business name Sullivan, Jaclyn Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2019
Last updated Apr 24th, 2024 - about 7 months 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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