Jill Elizabeth Kellner – Speech-Language Pathologist

Key facts

NPI: 1003457102
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 146008666 (IL)
Practice address: 404 S 5TH St
Saint Joseph, IL 61873-9073
Phone: (217) 469-2291
NPI assigned: Oct 1, 2019
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

St. Joseph CCSD #169 Student in an Organized Health Care Education/Training Program · Saint Joseph, IL · NPI 1326217100

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Master of Arts

State licenses

License	State	Type	Specialty
146008666	IL	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
St. Joseph CCSD #169		Past since Oct 6, 2019	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	146008666	IL	Yes

Addresses

Primary practice location

404 S 5TH St
Saint Joseph, IL 61873-9073

Mailing address

4102 Belmont PT
Champaign, IL 61822-3506
Phone (217) 621-3458

Other providers in Saint Joseph, IL

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Illini Christian Ministries Inc
Richard Kenneth Ingram, RPH
JMP Counseling and Tutoring Services, LLC
Leslie Renee Johnson, BSN, RN
Tony Yung Kirkman, LCPC
CHI Kim Le, D.M.D.
Megan Catherine Learned
Ricky Mahajan
Lea Meister, LPMT, MT-BC

All providers in Saint Joseph, IL · Speech-Language Pathologist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2019. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.