Michalak, Jill Rae

Michalak, Jill Rae is an sole proprietor health care provider with primary practice located at 6555 Willow Springs Rd Suite 11, La Grange Highlands IL 60525-4591. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Michalak, Jill Rae can be contacted via phone (708) 579-9458.

Contact Information

Primary practice address
6555 Willow Springs Rd Suite 11 La Grange Highlands IL 60525-4591
Phone: (708) 579-9458
Fax: (708) 579-9561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 2830 Illinois

Profile Details

NPI number 1912037839
LBN Legal business name Michalak, Jill Rae
Credentials BC-HID
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2007
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912037839 NPPES
Illinois Other 01633818 BLUE CROSS BLUE SHIELD

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