Lisette Kmiec, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242.007942 Issued in IL

Practice address

2600 N Annie Glidden Rd
Dekalb, IL 60115-1207

Phone

(815) 217-0343

Fax

(815) 217-0455

NPI assigned

Jan 8, 2026

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1417814633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 LAKESIDE CT APT 1026",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601747923",
            "telephone_number": "815-217-0343",
            "fax_number": "815-217-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N ANNIE GLIDDEN RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601151207",
            "telephone_number": "815-217-0343",
            "fax_number": "815-217-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMIEC",
        "first_name": "LISETTE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.007942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg A Kling, D.O.
• Madison Kling
• Kloberdanz Oral Surgery and Dental Implants P.C.
• Brian Kloberdanz, DDS
• Olivia Klonoski
• Joseph A Kmiecik, MD
• Laurie A Knoke, NP
• Nicole Knoles, BA
• Kearsti-Rae E Knowles, MT-BC
• Emily Ann Knudson-Vilaseca, M.A./CCC-SLP

• Speech-Language Pathologist in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.