Healthcare Provider Details

I. General information

NPI: 1609709468
Provider Name (Legal Business Name): JJS SPEECH & LANGUAGE LAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 N MAPLEWOOD AVE APT 304
CHICAGO IL
60622-1878
US

IV. Provider business mailing address

1432 N MAPLEWOOD AVE APT 304
CHICAGO IL
60622-1878
US

V. Phone/Fax

Practice location:
  • Phone: 708-927-9878
  • Fax:
Mailing address:
  • Phone: 708-927-9878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNA JABLONSKI
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 708-927-9878