Search › Illinois › 235Z00000X
Jason Mitsdarffer, MS, CCC-SLP
NPI 1134382781 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1894 Applewood Dr
Wauconda, IL 60084 - Phone
- (847) 377-7346
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois