Individual provider · Type 1 NPI
Tara Childress-Jackson, SLPA
Speech-Language Assistant · Evergreen Park, IL
NPI number
1093166373
Active
Practice location
8819 S Fairfield Ave
Evergreen Park, IL 60805-1144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | 217000240 (IL) |
Speech-Language Assistant: Definition to come...
Other speech-language assistant providers in Evergreen Park
About NPI 1093166373
Tara Childress-Jackson, SLPA's National Provider Identifier is 1093166373, issued on Jun 28, 2016. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Evergreen Park, IL. The record was last updated on Jun 28, 2016.