Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA CHILDRESS-JACKSON, SLPA
Active Sole ProprietorTARA CHILDRESS-JACKSON, SLPA is a Swallowing Disorders Speech-Language Pathologist healthcare provider located in EVERGREEN PARK, Illinois. NPI 1093166373 is currently active in the NPPES registry. Verify at CMS.
Swallowing Disorders Speech-Language Pathologist · EVERGREEN PARK, IL
Registration Details
- NPI Number
- 1093166373
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2016 (10.088449774395 yrs)
- Last Updated
- Jun 28, 2016
- License
-
217000240 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8819 S FAIRFIELD AVEEVERGREEN PARK, IL, 608051144Browse IL providers · Browse ZIP 60805
- Phone
- 3127581463
- Primary Specialty
-
Swallowing Disorders Speech-Language Pathologist
2355S0801X
Other Swallowing Disorders Speech-Language Pathologist Providers in EVERGREEN PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MICHELLE CAHILL | — | 1265822530 |
| JENNIFER GILHOOLY | — | 1689049157 |
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.