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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
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