| Ms Jennifer Marie Van Blake, MHS-CCC-SLP | |
|
113 N School St, Mount Prospect, IL 60056-2540 | |
| (847) 350-8846 | |
| Not Available |
| Full Name | Ms Jennifer Marie Van Blake |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 24 Years |
| Location | 113 N School St, Mount Prospect, 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 |
|---|---|---|---|
| 1306267604 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 146.007253 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fox Rehabilitation Services Il Llc | 8224379763 | 103 |
| Provider Name | Fox Rehabilitation Services Il Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1114443462 PECOS PAC ID: 8224379763 Enrollment ID: O20190409003124 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jennifer Marie Van Blake, MHS-CCC-SLP 113 N School St, Mount Prospect, IL 60056-2540 Ph: (847) 350-8846 | Ms Jennifer Marie Van Blake, MHS-CCC-SLP 113 N School St, Mount Prospect, IL 60056-2540 Ph: (847) 350-8846 |
Suruchi Ghode Matthews, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1805 E Apache Ln, Mount Prospect, IL 60056 Phone: 847-269-1325 | |
Lolli Speech Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 404 E Berkshire Ln, Mount Prospect, IL 60056 Phone: 224-522-5569 | |
Megan Lynn Vogelzang, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11 W Hiawatha Trl, Mount Prospect, IL 60056 Phone: 616-566-3547 | |
Rachel Weber, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 799 W Kensington Rd, Mount Prospect, IL 60056 Phone: 847-463-8100 Fax: 847-463-8114 | |
Margaret Kopper, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 610 N Wille St, Mount Prospect, IL 60056 Phone: 847-452-0107 | |
Lauren Rose Wheeler, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1810 W Locust Ln, Mount Prospect, IL 60056 Phone: 847-946-7492 | |
Ms. Lynda Ann Thill, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5 W Central Rd, #403, Mount Prospect, IL 60056 Phone: 847-208-7584 |