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

Individual provider Speech-Language Pathologist · NPI 1215086814

Jill K. Shackelford, CCC-SLP is a Speech-Language Pathologist in St Charles, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2007
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

40W310 Lafox Rd Ste 1A
St Charles, IL 60175-6588
Phone: (630) 444-0077
Fax: (630) 444-0078
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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 146006263 (IL)

Record details

NPI number1215086814
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESNovember 6, 2013

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