Josette Leanna Peters
Individual provider Active NPI Speech-Language Pathologist · Clifton, IL
NPI 1033891718 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1033891718
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 242.007402 (IL)
- Practice address
- 2882 N 1100 East Rd
Clifton, IL 60927-7101 - Phone
- (779) 240-0140
- NPI assigned
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242.007402 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 242.007402 | IL | Yes |
Addresses
Primary practice location
2882 N 1100 East Rd
Clifton, IL 60927-7101
Mailing address
2882 N 1100 East Rd
Clifton, IL 60927-7101
Phone (779) 240-0140
Other providers in Clifton, IL
- Kyle Lamb Counseling PLLC
- Johnathan Meyer
- Venkata Moparthi
- Corey Norton
- Wuraola Ibiyemi Omotosho
- Presence Healthcare Services
- Abraham Thomas
All providers in Clifton, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.