Kimberly L Hall, MS CCC/SLP
Individual provider Active NPI Speech-Language Pathologist · Danforth, IL
NPI 1154848174 · NPPES record last updated Aug 18, 2023
Key facts
- NPI
- 1154848174
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.009968 (IL)
- Practice address
- 101 Locust St.
Danforth, IL 60930 - Phone
- (815) 269-2230
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.009968 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cissna Park Community Unit School District # 6 | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.009968 | IL | Yes |
Addresses
Primary practice location
101 Locust St.
Danforth, IL 60930
Mailing address
106 E Front St
Gilman, IL 60938-1331
Phone (815) 683-2662
Other practice location 1
511 N 2nd St
Cissna Park, IL 60924-9734
Phone (815) 457-2171
Other providers in Danforth, IL
All providers in Danforth, 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 18, 2023. 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.