Shannon Zeszut, SLP
Individual provider Active NPI Speech-Language Pathologist · Berkeley, IL
NPI 1346838331 · NPPES record last updated Jan 5, 2021
Key facts
- NPI
- 1346838331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 1555 N Wolf Rd
Berkeley, IL 60163-1408 - Phone
- (216) 789-8795
- NPI assigned
- Jan 5, 2021
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
1555 N Wolf Rd
Berkeley, IL 60163-1408
Mailing address
1555 N Wolf Rd
Berkeley, IL 60163-1408
Phone (216) 789-8795
Other providers in Berkeley, IL
- Anton J. Sahattchiev
- Tinley Euthymia LLC
- Via Sol Transport, LLC
- Village of Berkeley
- Tonlavail J White
All providers in Berkeley, 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 Jan 5, 2021. 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.