MEDICARE: JILL SOVITZKY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	146007901	IL

General Provider Information

NPI Number	:	1033636824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JILL SOVITZKY

Provider Business Mailing Address
First Line	:	1200 S DUNTON AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-3111
Country	:	US
Telephone Number	:	847-758-4900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1430 N BELMONT AVE
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-4832
Country	:	US
Telephone Number	:	847-398-4260
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2017
Last Update Date	:	08/23/2017

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Directions to “ JILL SOVITZKY ” Practice Location

Language	Start Address	Practice Location

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