Provider Demographics
NPI:1497918304
Name:YEE, JEANNE WEN (MA CCC-SLP/L)
Entity Type:Individual
Prefix:
First Name:JEANNE
Middle Name:WEN
Last Name:YEE
Suffix:
Gender:F
Credentials:MA CCC-SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 S. WELLS
Mailing Address - Street 2:#1503
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-4789
Mailing Address - Country:US
Mailing Address - Phone:773-289-2239
Mailing Address - Fax:
Practice Address - Street 1:611 S. WELLS ST
Practice Address - Street 2:#1503
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60607-4789
Practice Address - Country:US
Practice Address - Phone:773-289-2239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.009009235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist