Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIE MARIE KILLAM
Active Sole ProprietorDevelopmental Therapist · NEW BERLIN, IL
Registration Details
- NPI Number
- 1043475122
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 28, 2008 (17.796690319405 yrs)
- Last Updated
- Sep 11, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
8801 WERNER RDNEW BERLIN, IL, 626706805Browse IL providers · Browse ZIP 62670
- Phone
- 2179711882
- Primary Specialty
-
Developmental Therapist
222Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.