Most Relevant Information
Provider Data
| NPI Number: | 1003424649 |
| Provider Name: | JACLYN NICOLE BUHS |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/20/2020 |
| Last Updated: | 09/24/2020 |
Provider Practice Location
300 COMMERCE DR
CRYSTAL LAKE
IL
600143503
Practice Location Phone/Fax
| Phone: | 7086999569 |
| Fax: |
Provider Mailing Location
4842 BODE LN
MCHENRY
IL
600506601
Provider Mailing Phone/Fax
| Phone: | 7086999569 |
| Fax: |