DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACQUELINE MARIE TISH

Active

JACQUELINE MARIE TISH is a Speech, Language and Hearing Specialist healthcare provider located in MONTICELLO, Illinois. NPI 1457733354 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · MONTICELLO, IL

Registration Details

NPI Number
1457733354
Provider Type
Individual
Gender
Female
NPI Issued
Jun 26, 2015 (11.128298518023 yrs)
Last Updated
Jun 26, 2015
License
146.012363 (IL)

Practice Information

Address
15 WESTWOOD DR
MONTICELLO, IL, 618568239
Browse IL providers · Browse ZIP 61856
Phone
2175212571
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in MONTICELLO, IL

Name Credential NPI
MRS. JENNIFER GIBSON SMITH MS CCC-SLP 1083798219
KATHLEEN FAIR M.S. 1992970198
RACHEL CALDWELL CCC-SLP 1700433869
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.