Provider Demographics
NPI:1225593510
Name:SCHWEIZER, JORDAN ALEXANDRA (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JORDAN
Middle Name:ALEXANDRA
Last Name:SCHWEIZER
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2046 W CORTEZ ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-3630
Mailing Address - Country:US
Mailing Address - Phone:847-636-1185
Mailing Address - Fax:
Practice Address - Street 1:2046 W CORTEZ ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-3630
Practice Address - Country:US
Practice Address - Phone:847-636-1185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146012979235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist