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 | 14 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 | 216 |
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 |