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NPI Code Detail

MEDICARE: JENNA KAREN PRYOR M.S., CF-SLP

MEDICARE: JENNA KAREN PRYOR M.S., CF-SLP
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1083425722
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNA KAREN PRYOR M.S., CF-SLP
Provider Business Mailing Address
First Line : 1255 N SANDBURG TER UNIT 303
Second Line :
City : CHICAGO
State : IL
Zip : 60610-2205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4101 LIBERTY BLVD APT 1
Second Line :
City : WESTMONT
State : IL
Zip : 60559-1348
Country : US
Telephone Number : 938-663-0426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2025
Last Update Date : 01/14/2025

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Directions to “ JENNA KAREN PRYOR M.S., CF-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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