Active NPI
Karen Lynn Fitzgerald, PH.D., CCC-SLP/L
- Speech-Language Pathologist
- Woodridge, IL
National Provider Identifier
1043581002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.003913
- Practice address
- 2213 Wharf Dr
Unit 405
Woodridge, IL 60517-4359 - Phone
- (630) 985-4645
- NPI assigned
- Jan 23, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.003913 | IL | Primary |
Addresses
Primary practice location
2213 Wharf Dr
Unit 405
Woodridge, IL 60517-4359
Mailing address
2213 Wharf Dr
Unit 405
Woodridge, IL 60517-4359
Phone (630) 698-4645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.003913 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1043581002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 WHARF DR",
"address_2": "UNIT 405",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605174359",
"telephone_number": "630-698-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 WHARF DR",
"address_2": "UNIT 405",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605174359",
"telephone_number": "630-985-4645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "KAREN",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PH.D., CCC-SLP/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-23",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.003913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.