JORDAN LEE KELLGREN

LIBERTYVILLE, IL
NPI1942468095
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: IL  146.009599)
Additional Taxonomies235Z00000X Speech-Language Pathologist,
(Licence: IA  001846)
Enumeration Date2008-05-27
Last Update Date2008-12-11
Business Address
-- JORDAN LEE KELLGREN M.S. CCC-SLP
1860 W WINCHESTER RD STE 108
LIBERTYVILLE, IL 60048-5312
Phone number: 847-573-9486
Mailing Address
-- JORDAN LEE KELLGREN M.S. CCC-SLP
1860 W WINCHESTER RD STE 108
LIBERTYVILLE, IL 60048-5312
Phone number: 847-573-9486