Katie Tebrugge, MS CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146008914 Issued in IL

Practice address

606 N Michigan St
Elmhurst, IL 60126-1934

Phone

(630) 530-8551

Fax

(630) 530-5909

NPI assigned

Nov 11, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Speech and Language Disorders

  • Speech-Language Pathologist
  • Elmhurst, IL
  • NPI 1477602548
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1003060476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N MICHIGAN ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261934",
            "telephone_number": "630-530-8551",
            "fax_number": "630-530-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N MICHIGAN ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601261934",
            "telephone_number": "630-530-8551",
            "fax_number": "630-530-5909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBRUGGE",
        "first_name": "KATIE",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146008914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Janina Tapia
• Tara Incopero PC
• Stephanie Tate, DPT
• Gayle Susan Tauchen, LCSW
• Azam Tayyebi, APN-CNP
• David Tella I, MD
• Odon D. Terrado, M.D.
• Theodore Vladimir Terziev, PHARMD
• Rina Thakkar, FNP
• The Center for Recertification Inc

• Speech-Language Pathologist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.