Deborah L Berg, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Lake Forest, IL
NPI 1124216668 · NPPES record last updated Oct 5, 2009
Key facts
- NPI
- 1124216668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.001993 (IL)
- Practice address
- 660 N Westmoreland Rd
Lake Forest, IL 60045-1659 - Phone
- (847) 234-6114
- NPI assigned
- Oct 10, 2007
- 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 |
|---|---|---|---|
| 146.001993 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.001993 | IL | Yes |
Addresses
Primary practice location
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Mailing address
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-6114
Other providers in Lake Forest, IL
- Deborah Ann Belcore
- Michael Belmont
- John William Benge
- Adam W. Bennett
- Ann Benny Stephen
- Joyce Ellen Berger
- Mimi Claire Bergman
- Mark Allan Berk
- Samantha Berkson
- Harold G. Berner
All providers in Lake Forest, 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 Oct 5, 2009. 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.