Arevalo-Agne, Jacqueline

Arevalo-Agne, Jacqueline is an sole proprietor health care provider with primary practice located at 6313 S Oak Park Ave #3, Chicago IL 60638-4001. 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. Arevalo-Agne, Jacqueline can be contacted via phone (773) 543-5410.

Contact Information

Primary practice address
6313 S Oak Park Ave #3 Chicago IL 60638-4001
Phone: (773) 543-5410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 242002565 Illinois

Profile Details

NPI number 1881025385
LBN Legal business name Arevalo-Agne, Jacqueline
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 9th, 2013
Last updated May 19th, 2016 - about 10 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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