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NPI Code Detail

MEDICARE: JESSICA KAIZ M.S.

MEDICARE: JESSICA KAIZ M.S.
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 Pathologist146.011420IL

General Provider Information

NPI Number : 1700215944
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA KAIZ M.S.
Provider Business Mailing Address
First Line : 3019 N WILSHIRE LN
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1749
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 424 N RAND RD
Second Line :
City : NORTH BARRINGTON
State : IL
Zip : 60010-1496
Country : US
Telephone Number : 847-756-2680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2013
Last Update Date : 11/07/2013

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Directions to “ JESSICA KAIZ M.S.” Practice Location

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