Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaclyn Kristene Johnson, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1336753383

Jaclyn Kristene Johnson, CCC-SLP is a Speech-Language Pathologist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.

Licensed in
IL
In the registry since
2020
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

1422 W Willow St Ste 101
Chicago, IL 60642-8977
Phone: (773) 672-7775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 242.005299 (IL)

Record details

NPI number1336753383
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedSeptember 6, 2020
Last updated in NPPESSeptember 6, 2020
Certification dateSeptember 5, 2020

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