Julie Gerard, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Rockton, IL
NPI 1083130645 · NPPES record last updated Aug 16, 2017
Key facts
- NPI
- 1083130645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146005999 (IL)
- Practice address
- 307 Salem St
Rockton, IL 61072-2630 - Phone
- (815) 624-5085
- NPI assigned
- Aug 16, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 146005999 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146005999 | IL | Yes |
Addresses
Primary practice location
307 Salem St
Rockton, IL 61072-2630
Mailing address
307 Salem St
Rockton, IL 61072-2630
Other providers in Rockton, IL
- Scott Ege
- Leslie Jane Eggers
- Laura Erwin
- Zachery Fiduccia
- James Adrian Fogarty
- Goldie B. Floberg Center
- Goldie B. Floberg Center
- Goldie B. Floberg Center for Children
- Goldie Floberg Center
- Melissa Marie Gomez
All providers in Rockton, 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 16, 2017. 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.