Active NPI
Rhonda L Koach
- Speech-Language Pathologist
- Sycamore, IL
National Provider Identifier
1457526469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146-004279
- Practice address
- 2127 Midlands CT
Suite 203
Sycamore, IL 60178-3119 - Phone
- (815) 758-8106
- Fax
- (815) 758-8108
- NPI assigned
- Apr 30, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 146-004279 | IL | Primary |
Addresses
Primary practice location
2127 Midlands CT
Suite 203
Sycamore, IL 60178-3119
Mailing address
2700 N 1St St
Dekalb, IL 60115-1010
Phone (815) 758-2044
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146-004279 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391644800000",
"number": "1457526469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 N 1ST ST",
"city": "DEKALB",
"state": "IL",
"postal_code": "601151010",
"telephone_number": "815-758-2044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 MIDLANDS CT",
"address_2": "SUITE 203",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783119",
"telephone_number": "815-758-8106",
"fax_number": "815-758-8108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOACH",
"first_name": "RHONDA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-30",
"last_updated": "2014-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146-004279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.