MEDICARE: JACLYN DONAHUE

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	146013776	IL

General Provider Information

NPI Number	:	1942652300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACLYN DONAHUE

Provider Business Mailing Address
First Line	:	1737 N PAULINA ST APT 103
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1462
Country	:	US
Telephone Number	:	847-363-2371
Fax Number	:

Provider Business Practice Location Address
First Line	:	6501 S PROMONTORY DR # 1003
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-1002
Country	:	US
Telephone Number	:	773-363-6700
Fax Number	:	888-765-4321

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

Provider Enumeration Date	:	07/11/2016
Last Update Date	:	03/21/2022

Similar Medicare Providers

1386005890 — JESSICA LANE HALL
Practice Location Address:

6501 S PROMONTORY DR # 1003
CHICAGO, IL
60649-1002

Practice Phone: 773-256-5788
Practice Fax:

1760068720 — OLIVIA HACKER
Practice Location Address:

6501 S PROMONTORY DR # 1003
CHICAGO, IL
60649-1002

Practice Phone: 773-363-6700
Practice Fax:

1629136882 — MRS. CHRISTINA L. LINBOOM LCSW
Practice Location Address:

6501 S PROMONTORY DR
CHICAGO, IL
60649-1002

Practice Phone: 773-753-8642
Practice Fax: 773-247-2188

1568609667 — TANISHA A JONES BSN, RN, MSN, C-FNP
Practice Location Address:

6501 S PROMONTORY DR
CHICAGO, IL
60649-1002

Practice Phone: 773-363-6700
Practice Fax:

1356681647 — MARILYN CALIK MSW
Practice Location Address:

6501 S PROMONTORY DR
CHICAGO, IL
60649-1002

Practice Phone: 773-363-6700
Practice Fax: 773-363-3481

1225534704 — REBECCA HARDY
Practice Location Address:

6501 S PROMONTORY DR
CHICAGO, IL
60649-1002

Practice Phone: 773-363-6700
Practice Fax: 773-363-3481

Directions to “ JACLYN DONAHUE ” 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.