Jennifer Dawn Papadakes
Individual provider Active NPI Speech-Language Pathologist · Wadsworth, IL
NPI 1457575490 · NPPES record last updated Feb 4, 2015
Key facts
- NPI
- 1457575490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146.006553 (IL)
- Practice address
- 3045 Concord LN
Wadsworth, IL 60083-8941 - Phone
- (847) 623-9655
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.006553 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.006553 | IL | Yes |
Addresses
Primary practice location
3045 Concord LN
Wadsworth, IL 60083-8941
Mailing address
3045 Concord LN
Wadsworth, IL 60083-8941
Other providers in Wadsworth, IL
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- Debra Ann Micksch
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- Nancy Jo Moran
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- Anastasia Peterson
- Jensen Plata
- Restorative Health Center
- Samantha Rouette
- Tricia A Schwartz
All providers in Wadsworth, 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 Feb 4, 2015. 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.