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NPI Code Detail

MEDICARE: MS. JONELYN LANGENSTEIN MM, MS, CCC-SLP

MEDICARE: MS. JONELYN LANGENSTEIN MM, MS, CCC-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 PathologistPCET001909GA
2235Z00000XSpeech-Language Pathologist146.013601IL

General Provider Information

NPI Number : 1104258284
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JONELYN LANGENSTEIN MM, MS, CCC-SLP
Provider Business Mailing Address
First Line : 680 N LAKE SHORE DR
Second Line :
City : CHICAGO
State : IL
Zip : 60611-4546
Country : US
Telephone Number : 312-695-6868
Fax Number :
Provider Business Practice Location Address
First Line : 675 N SAINT CLAIR ST STE 15-200
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5967
Country : US
Telephone Number : 312-926-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2013
Last Update Date : 07/21/2022

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