Jill Ann Rose
Individual provider Active NPI Speech-Language Pathologist · Brussels, IL
NPI 1881869014 · NPPES record last updated Aug 16, 2012
Key facts
- NPI
- 1881869014
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- HC 82 Box 2BB
Brussels, IL 62013-9702 - Phone
- (618) 980-0601
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | MO | Yes |
Addresses
Primary practice location
HC 82 Box 2BB
Brussels, IL 62013-9702
Mailing address
HC 82 Box 2BB
Brussels, IL 62013-9702
Phone (618) 980-0601
Other providers in Brussels, IL
All providers in Brussels, 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 Aug 16, 2012. 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.