Jordan Lee Kellgren in Libertyville - Speech-language Pathologist
Jordan Lee Kellgren - NPI 1942468095
Jordan Lee Kellgren is a Speech-language Pathologist in Libertyville, Illinois. Jordan Lee Kellgren practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Jordan Lee Kellgren is 1942468095. The last update date is 2008-12-11.
Jordan Lee Kellgren's current location address is 1860 W Winchester Rd Ste 108, Libertyville, Illinois. You can contact this provider via phone number 8475739486. The mailing address for Jordan Lee Kellgren is 1860 W Winchester Rd Ste 108, Libertyville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jordan Lee Kellgren |
|---|---|
| Address | 1860 W Winchester Rd Ste 108, Libertyville, Illinois |
| Phone Number | 8475739486 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S. CCC-S |
NPI Number Detail
| NPI Number | 1942468095 |
|---|---|
| Provider Enumeration Date | 2008-05-27 |
| Last Updated Date | 2008-12-11 |
Provider Mailing Address Detail
| Address | 1860 W Winchester Rd Ste 108 |
|---|---|
| City | Libertyville |
| State | Illinois (IL) |
| Post Code | 600485312 |
| Phone Number | 8475739486 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 1846 |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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Post Comment/ Review Below
What is the unique identifier code issued to Jordan Lee Kellgren by the Centers for Medicare & Medicaid Services (CMS)?
The Jordan Lee Kellgren has been assigned the NPI (National Provider Identifier) 1942468095. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Jordan Lee Kellgren's facilities are situated?
The facilities of Jordan Lee Kellgren are physically located at the following address: 1860 W Winchester Rd Ste 108, Libertyville, IL, 600485312.
What is the Jordan Lee Kellgren's area of specialization and corresponding taxonomy classification?
The Jordan Lee Kellgren's specialty field is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their specialties.
When did the Jordan Lee Kellgren receive its 1942468095?
The Jordan Lee Kellgren was issued its 1942468095 on 2008-05-27, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jordan Lee Kellgren last refreshed?
The information related to the Jordan Lee Kellgren, including its address, specialty, and other relevant details, was last updated on 2008-12-11.