MS. Jennifer Marie Van Blake, MHS-CCC-SLP
NPI #1306267604 in Mount Prospect, Illinois
Provider Information
- NPI Number
- 1306267604
- Entity Type
- Individual
- Name
- MS. Jennifer Marie Van Blake, MHS-CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MHS-CCC-SLP
- Enumeration Date
- Jan 4, 2014
- Last Updated
- Oct 31, 2025
Practice Location
- Address
- 113 N SCHOOL ST
- City
- Mount Prospect
- State
- Illinois
- ZIP Code
- 60056-2540
- Phone
- (847) 350-8846
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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