Doctor Name: | JILL DIRILTEN |
NPI Number: | 1407214851 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP/L |
License Number: | 146-007342 |
Business Practice Address: | 3308 Tall Grass Dr Naperville, IL - 605644445 |
Business Phone Number: | 7087436767 |
Business Fax Number: | 6309223784 |
Mailing Address: | 3308 Tall Grass Dr, NAPERVILLE |
State: | IL |
Postal Code: | 605644445 |
Phone Number: | 7087436767 |
Fax Number: | 6309223784 |
NPI Enumeration Date: | 01/31/2016 |
NPI Last Update Date: | 01/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 146-007342 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |