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1215086814
JILL K. SHACKELFORD
ST CHARLES, IL
NPI
1215086814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146006263)
Enumeration Date
2007-01-10
Last Update Date
2013-11-06
Business Address
-- JILL K. SHACKELFORD CCC-SLP
40W310 LAFOX RD SUITE 1A
ST CHARLES, IL 60175-6588
Phone number: 630-444-0077
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Mailing Address
-- JILL K. SHACKELFORD CCC-SLP
638 S CROSS ST
SYCAMORE, IL 60178-2111
Phone number: 630-444-0077
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