Provider Demographics
NPI:1275366312
Name:JEANETTE BOND PLLC
Entity type:Organization
Organization Name:JEANETTE BOND PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BOND
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:847-414-7601
Mailing Address - Street 1:1627 W COLONIAL PKWY STE 300
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:IL
Mailing Address - Zip Code:60067-4732
Mailing Address - Country:US
Mailing Address - Phone:847-414-7601
Mailing Address - Fax:224-801-8157
Practice Address - Street 1:1627 W COLONIAL PKWY STE 300
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:IL
Practice Address - Zip Code:60067-4732
Practice Address - Country:US
Practice Address - Phone:847-414-7601
Practice Address - Fax:224-801-8157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty