Jill M Mathenia

Individual provider Active NPI Speech-Language Pathologist · Toledo, IL

NPI 1184128704 · NPPES record last updated Mar 20, 2018

Key facts

NPI
1184128704
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
1496 Illinois Route 121
Toledo, IL 62468-4214
Phone
(217) 923-3135
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Community Unit School District 77 Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

1496 Illinois Route 121
Toledo, IL 62468-4214

Mailing address

1496 Illinois Route 121
Toledo, IL 62468-4214

Other providers in Toledo, IL

All providers in Toledo, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.