Antoniou, Jessica Lynn

Antoniou, Jessica Lynn is an individual health care provider with primary practice located at 1304 Ronzheimer Ave , St Charles IL 60174-4450. 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. Antoniou, Jessica Lynn can be contacted via phone (331) 228-3874.

Contact Information

Primary practice address
1304 Ronzheimer Ave St Charles IL 60174-4450
Phone: (331) 228-3874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146011588 Illinois

Profile Details

NPI number 1578081279
LBN Legal business name Antoniou, Jessica Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2017
Last updated Sep 1st, 2017 - about 9 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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