Active NPI
Deborah Ann Taege, M.S. CCC-SLP/L, ATP
- Speech-Language Pathologist
- Orland Park, IL
National Provider Identifier
1366542607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146-004317
- Practice address
- 14535 John Humphrey Dr
Orland Park, IL 60462-6210 - Phone
- (708) 873-1600
- Fax
- (708) 873-1786
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146-004317 | IL | Primary |
Addresses
Primary practice location
14535 John Humphrey Dr
Orland Park, IL 60462-6210
Mailing address
6935 Kingston CT
Tinley Park, IL 60477-1645
Phone (708) 717-6947
Other practice location 1
1640 W Roosevelt Rd
M/C 726-Assistive Technology Unit
Chicago, IL 60608-1316
Phone (312) 413-2577
Other practice location 2
1640 W Roosevelt Rd
M/C 726-Assistive Technology Unit
Chicago, IL 60608-1316
Phone (312) 413-2577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146-004317 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uic Assistive Technology Unit | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1114013950
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366542607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6935 KINGSTON CT",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604771645",
"telephone_number": "708-717-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 JOHN HUMPHREY DR",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604626210",
"telephone_number": "708-873-1600",
"fax_number": "708-873-1786"
}
],
"practiceLocations": [
{
"address_1": "1640 W Roosevelt Rd",
"address_2": "M/C 726-Assistive Technology Unit",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606081316",
"country_code": "US",
"telephone_number": "312-413-2577",
"fax_number": "312-413-3709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1640 W Roosevelt Rd",
"address_2": "M/C 726-Assistive Technology Unit",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606081316",
"country_code": "US",
"telephone_number": "312-413-2577",
"fax_number": "312-413-3709",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAEGE",
"first_name": "DEBORAH",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "M.S. CCC-SLP/L, ATP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146-004317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.