Provider Demographics
NPI:1689782773
Name:GAGESCH, JENNIFER BROWN (AUD)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:BROWN
Last Name:GAGESCH
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1948 THREE FARMS AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1105
Mailing Address - Country:US
Mailing Address - Phone:630-355-5668
Mailing Address - Fax:630-355-2071
Practice Address - Street 1:1948 THREE FARMS AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1105
Practice Address - Country:US
Practice Address - Phone:630-355-5668
Practice Address - Fax:630-355-2071
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147-000674231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist