Provider Demographics
NPI:1033374939
Name:SADOWSKI, JEANINE C THOMAS (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JEANINE
Middle Name:C THOMAS
Last Name:SADOWSKI
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 S MASON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-1403
Mailing Address - Country:US
Mailing Address - Phone:773-735-9426
Mailing Address - Fax:
Practice Address - Street 1:5219 S MASON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-1403
Practice Address - Country:US
Practice Address - Phone:773-735-9426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-005210235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist