Provider Demographics
NPI:1083622195
Name:RABIN, JILL ELIZABETH (MS CCC-SLP/L IBCLC)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:ELIZABETH
Last Name:RABIN
Suffix:
Gender:F
Credentials:MS CCC-SLP/L IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2890 KOEPKE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5816
Mailing Address - Country:US
Mailing Address - Phone:847-564-3330
Mailing Address - Fax:847-272-4978
Practice Address - Street 1:2890 KOEPKE RD
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-5816
Practice Address - Country:US
Practice Address - Phone:847-564-3330
Practice Address - Fax:847-272-4978
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist