MEDICARE: JEROMA LYNN VICINO MA 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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1366913329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEROMA LYNN VICINO MA CCC SLP

Provider Business Mailing Address
First Line	:	400 N WEST AVE
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-2128
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N WEST AVE
Second Line	:
City	:	ELMHURST
State	:	IL
Zip	:	60126-2128
Country	:	US
Telephone Number	:	630-834-5562
Fax Number	:

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

Provider Enumeration Date	:	12/16/2018
Last Update Date	:	12/16/2018

Similar Medicare Providers

1437695764 — UPPER DITMARS DENTAL PLLC
Practice Location Address:

2128 80TH ST
EAST ELMHURST, NY
11370-1323

Practice Phone: 908-705-7122
Practice Fax:

1073353264 — ASPIRE WELLNESS PHYSICAL THERAPY PC
Practice Location Address:

2215 79TH ST APT 2B
EAST ELMHURST, NY
11370-2128

Practice Phone: 631-805-8268
Practice Fax:

1497928873 — DR. JENNIFER B KOSSORIS M.D.
Practice Location Address:

360 W BUTTERFIELD RD , SUITE 250
ELMHURST, IL
60126-5068

Practice Phone: 630-832-4210
Practice Fax: 630-832-8110

1831049378 — ACCREDO HEALTH GROUP, INC.
Practice Location Address:

650 W GRAND AVE STE 102
ELMHURST, IL
60126-1024

Practice Phone: 630-279-7390
Practice Fax: 630-279-8464

1083657811 — JOELLYN T HASKE APN-CRNA
Practice Location Address:

155 E BRUSH HILL RD
ELMHURST, IL
60126-5658

Practice Phone: 331-221-3521
Practice Fax: 331-221-3827

1215469671 — MICHAEL HEGAZIN D.O.
Practice Location Address:

1200 S YORK ST STE 4180
ELMHURST, IL
60126-5630

Practice Phone: 331-221-9004
Practice Fax: 331-221-3998

Directions to “ JEROMA LYNN VICINO MA CCC 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.