Ilene Zacher Klegon, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.007871 Issued in IL

Practice address

1049 E Wilson St
Suite 100
Batavia, IL 60510-2474

Phone

(630) 761-0900

Fax

(630) 761-0909

NPI assigned

Jun 15, 2010

Last updated

Jun 17, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ilene Patricia Zacher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371427200000",
    "number": "1053632943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 EAST WILSON STREET",
            "address_2": "SUTITE 100",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102478",
            "telephone_number": "630-761-0900",
            "fax_number": "630-761-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E WILSON ST",
            "address_2": "SUITE 100",
            "city": "BATAVIA",
            "state": "IL",
            "postal_code": "605102474",
            "telephone_number": "630-761-0900",
            "fax_number": "630-761-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEGON",
        "first_name": "ILENE",
        "middle_name": "ZACHER",
        "name_prefix": "Ms.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2013-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.007871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILENE",
            "last_name": "ZACHER",
            "middle_name": "PATRICIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leena Kim
• Minju Kim
• Barbara Geralyn King, SLPA
• Jennifer Joanne King, MA, LCPC, CRC
• Elizabeth C Kirkwood, OT
• Joann I Kline
• Riley Klink, PSYD
• John C. Koechley, D.D.S.
• Nicole Michelle Koonce
• John Koranek, LCPC

• Speech-Language Pathologist in Batavia, IL
• Providers in Batavia, 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 Jun 17, 2013; 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.