Anne Kathryn Bludgen, MHS CCC SLP
Individual provider Active NPI Speech-Language Pathologist · Dolton, IL
NPI 1154526119 · NPPES record last updated Dec 21, 2020
Key facts
- NPI
- 1154526119
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146-005469 (IL)
- Practice address
- 15000 Cottage Grove Ave
Dolton, IL 60419-2738 - Phone
- (708) 271-4451
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 146-005469 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne K. Bludgen Speech Pathologist | Past | Accepting new patients | |
| Rehab Advantage, Inc | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146-005469 | IL | Yes |
Addresses
Primary practice location
15000 Cottage Grove Ave
Dolton, IL 60419-2738
Mailing address
15000 Cottage Grove Ave
Dolton, IL 60419-2738
Phone (708) 271-4451
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- Chiquita D Bradford
- Danielle Bradley
- Lemia Britt
- Nathaniel Brown
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All providers in Dolton, 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 Dec 21, 2020. 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.