IndividualActive
Jennifer Jackson
NPI 1407461163 · Speech-Language Assistant · Bolingbrook, IL
Provider details
- NPI number
- 1407461163
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
149 Flagstaff Dr
Bolingbrook, IL 60440-2657
Phone: (708) 515-3537
Approximate (ZIP-level) locationGet directions
Mailing address
149 Flagstaff Dr
Bolingbrook, IL 60440-2657
Registry dates
- Enumerated
- 2020-09-10
- Last updated
- 2020-09-10
- Certified
- 2020-09-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.