Provider Demographics
NPI:1306186903
Name:JOVANOVIC, LINDSAY (SLP)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:JOVANOVIC
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:PECKA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:2547 PLAINFIELD NAPERVILLE RD
Mailing Address - Street 2:STE 152
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-8909
Mailing Address - Country:US
Mailing Address - Phone:800-974-4378
Mailing Address - Fax:262-697-6278
Practice Address - Street 1:1920 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-2179
Practice Address - Country:US
Practice Address - Phone:800-974-4378
Practice Address - Fax:262-697-6278
Is Sole Proprietor?:No
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146008502235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist