Provider Demographics
NPI:1639668239
Name:REED, JILL M (CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:M
Last Name:REED
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 1:807 N SUTHERLAND CT
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60074-7151
Mailing Address - Country:US
Mailing Address - Phone:847-991-4954
Mailing Address - Fax:
Practice Address - Street 1:239 OLDE HALF DAY RD
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-2906
Practice Address - Country:US
Practice Address - Phone:847-634-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-09
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146004261235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist