Provider Demographics
NPI:1770838450
Name:SZYBOWICZ, JENNA (MS, SLP)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:
Last Name:SZYBOWICZ
Suffix:
Gender:F
Credentials:MS, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 BARRINGTON RD BLDG 1
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-1020
Mailing Address - Country:US
Mailing Address - Phone:224-299-4222
Mailing Address - Fax:
Practice Address - Street 1:1555 BARRINGTON RD BLDG 1
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60169-1020
Practice Address - Country:US
Practice Address - Phone:224-299-4222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-18
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146011236235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist