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Search › Illinois › 235Z00000X

Jessica Sullivan, CCC-SLP

NPI 1710120308 · on the registry since 2009 · sole proprietor

Practice

Address
2300 N Edward St
Decatur, IL 62526
Phone
(217) 876-2680
Fax
(217) 876-2630
Organisation at this address
Decatur Memorial Hospital
Decatur Memorial Hospital
Decatur Memorial Hospital
Decatur Memorial Hospital
Decatur Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
174

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Also registered as
235Z00000X
235Z00000X
Licence states on file
KS, MO, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-05-09

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