Provider Demographics
NPI:1871269167
Name:COUNTRY, HILLARY (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:COUNTRY
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1013 ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-5515
Mailing Address - Country:US
Mailing Address - Phone:630-589-4031
Mailing Address - Fax:
Practice Address - Street 1:1013 ELIZABETH AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5515
Practice Address - Country:US
Practice Address - Phone:630-589-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-18
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.013961235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist