Kellgren, Jordan Lee

Kellgren, Jordan Lee is an sole proprietor health care provider with primary practice located at 1860 W Winchester Rd Ste 108 , Libertyville IL 60048-5312. 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. Kellgren, Jordan Lee can be contacted via phone (847) 573-9486.

Contact Information

Primary practice address
1860 W Winchester Rd Ste 108 Libertyville IL 60048-5312
Phone: (847) 573-9486
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 001846 Iowa
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 146.009599 Illinois

Profile Details

NPI number 1942468095
LBN Legal business name Kellgren, Jordan Lee
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2008
Last updated Dec 11th, 2008 - about 18 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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