Naomi Gurevich, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Savoy, IL

NPI 1013346063 · NPPES record last updated Nov 9, 2013

Key facts

NPI
1013346063
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146011465 (IL)
Practice address
302 Burwash Ave
Savoy, IL 61874-9572
Phone
(217) 402-9700
NPI assigned
Nov 9, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
146011465ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146011465 IL Yes

Addresses

Primary practice location

302 Burwash Ave
Savoy, IL 61874-9572

Mailing address

302 Burwash Ave
Savoy, IL 61874-9572

Other providers in Savoy, IL

All providers in Savoy, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.