Jennifer Claire Jeon, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Skokie, IL
NPI 1124500236 · NPPES record last updated Sep 16, 2019
Key facts
- NPI
- 1124500236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146014939 (IL)
- Practice address
- 9201 Lockwood Ave
Skokie, IL 60077-1137 - Phone
- (847) 676-7316
- NPI assigned
- Sep 5, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146014939 | IL | MD | Speech-Language Pathologist |
| 242005075 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Steps Pediatric Physical Therapy PC | Past | Accepting new patients | |
| Little Steps Pediatric Physical Therapy, PC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242005075 | IL | |
| Speech-Language Pathologist | 235Z00000X | 146014939 | IL | Yes |
Addresses
Primary practice location
9201 Lockwood Ave
Skokie, IL 60077-1137
Mailing address
1217 S Clifton Ave
Park Ridge, IL 60068-5181
Phone (310) 721-8690
Other providers in Skokie, IL
- Jeanpois LTD.
- Lesly Jeanpois
- Marion G Jelcz
- Rebecca Jenkins
- Jennifer Elana Jenks
- David John Jereb
- Kathy Jereb
- Jerold F Silverman OD PC
- Jerome Krause Fashion Hair
- Jessica M. Brown, Psy.D., LLC
All providers in Skokie, 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 Sep 16, 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.