Rachel Bieker

Individual provider Active NPI Speech-Language Pathologist · Roselle, IL

NPI 1124691001 · NPPES record last updated Jul 20, 2021

Key facts

NPI
1124691001
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
242.006334 (IL)
Practice address
975 E Nerge Rd
Roselle, IL 60172-4804
Phone
(224) 520-8562
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
242.006334ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Speech Therapy, PC Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242.006334 IL Yes

Addresses

Primary practice location

975 E Nerge Rd
Roselle, IL 60172-4804

Mailing address

1607 Ann CT
Minooka, IL 60447-4531
Phone (815) 661-0395

Other providers in Roselle, IL

All providers in Roselle, IL · Speech-Language Pathologist in Illinois

Sources for this page

Verify at the official NPI Registry.