BENJAMIN JOSIAH KITTLE

ROCKFORD, IL
NPI1700455896
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  242006254)
Enumeration Date2021-06-22
Last Update Date2021-06-22
Business Address
BENJAMIN JOSIAH KITTLE
3470 N ALPINE RD
ROCKFORD, IL 61114-4802
Phone number: 815-877-1441
Mailing Address
BENJAMIN JOSIAH KITTLE
3915 LANDSTROM RD
ROCKFORD, IL 61114-6132
Phone number: 815-677-0062
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