Most Relevant Information
Provider Data
| NPI Number: | 1003457102 |
| Provider Name: | JILL ELIZABETH KELLNER MA, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 146008666 |
Most Important Dates
| Enumeration Date: | 10/01/2019 |
| Last Updated: | 10/01/2019 |
Provider Practice Location
404 S 5TH ST
SAINT JOSEPH
IL
618739073
Practice Location Phone/Fax
| Phone: | 2174692291 |
| Fax: |
Provider Mailing Location
4102 BELMONT PT
CHAMPAIGN
IL
618223506
Provider Mailing Phone/Fax
| Phone: | 2176213458 |
| Fax: |