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Jake McClintock

Speech-Language Pathologist, in Darien, IL. Individual provider (NPI-1).

NPI number1750890331
StatusActive
Last updated in NPPESSep 26, 2017

Details

NPI
1750890331
Entity type
Individual (NPI-1)
Name
Jake McClintock
Sex
Male
Sole proprietor
No
Enumeration date
Sep 26, 2017
Last updated
Sep 26, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,242.004626ILYes

Practice location

7401 Clarendon Hills Rd
Darien, IL 60561-4288

Phone 630-468-4000

Mailing address

1520 S Washington Ave
Park Ridge, IL 60068-5439

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