| Jennifer Ann Kicielinski, | |
|
3354 Jerome Ln, Cahokia, IL 62206-2604 | |
| (618) 337-9400 | |
| Not Available |
| Full Name | Jennifer Ann Kicielinski |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 15 Years |
| Location | 3354 Jerome Ln, Cahokia, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902107782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146.010646 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 334 |
| Provider Name | Comprehensive Therapeutics Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699094102 PECOS PAC ID: 8921230137 Enrollment ID: O20140422000663 |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ann Kicielinski, 234 S Liberty Rd, Troy, IL 62294-2830 Ph: (618) 420-9222 | Jennifer Ann Kicielinski, 3354 Jerome Ln, Cahokia, IL 62206-2604 Ph: (618) 337-9400 |
Sylvia Campbell, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3354 Jerome Ln, Therapy Department, Cahokia, IL 62206 Phone: 618-337-9400 Fax: 618-332-1811 | |
Allison Marie Clayton, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3354 Jerome Ln, Cahokia, IL 62206 Phone: 618-337-9400 | |
Quennetta Chambers, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1700 Jerome Ln, Cahokia, IL 62206 Phone: 618-332-4715 |